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

Dr. Bruce Allen Wallace Jr., DO

Individual provider Emergency Medicine Physician · NPI 1881124816

Dr. Bruce Allen Wallace Jr., DO is an Emergency Medicine in Hillsboro, Ohio. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2017, 9 years ago. Practices with Osup Community Outreach LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana, Michigan and Ohio.

Years since qualifying
9
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
IL, IN, MI, OH
In the registry since
2017
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1275 N High St
Hillsboro, OH 45133-8273
Phone: (614) 393-6100
Fax: (614) 293-2809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101025046 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 34C.000547 (OH)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036171615 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 02006388A (IN)

Record details

NPI number1881124816
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2017 (9 years in practice)
Group practice Osup Community Outreach Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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