Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Brent E Wallace, MD

Individual provider Family Medicine Physician · NPI 1124136221

Dr. Brent E Wallace, MD is a Family Medicine Physician in Roy, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1915 W 5950 S
Roy, UT 84067-1454
Phone: (801) 387-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 771610101205 (UT)

Record details

NPI number1124136221
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 28, 2006
Last updated in NPPESJuly 10, 2008
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

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