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

Dr. Jared John Wallen, MD

Individual provider Urology Physician · NPI 1144596974

Dr. Jared John Wallen, MD is an Urology Physician in Brandon, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

938 Oakfield Dr
Brandon, FL 33511-4950
Phone: (813) 278-8850
Fax: (813) 820-3508
Show map & directions

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

Additional practice locations (1)

  • 1350 Hickory St, Melbourne, FL 32901-3224 — (321) 434-1771

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME131777 (FL)

Record details

NPI number1144596974
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2012
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address938 Oakfield Dr, Brandon, FL 33511-4950

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