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

Dr. Reginald M Wallen, MD

Individual provider Family Medicine Physician · NPI 1225194210

Dr. Reginald M Wallen, MD is a Family Medicine Physician in Temple Hills, Maryland. Licensed in District of Columbia, Maryland and Virginia. Registered with an NPI since 2006.

Licensed in
DC, MD, VA
In the registry since
2006
Specialties on file
3
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

6104 Old Branch Avenue Kaiser Permanente Ppqa 6 West Attn Theresa Brooks
Temple Hills, MD 20748-2518
Phone: (301) 702-6100
Fax: (301) 702-6367
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D35317 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101044800 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD16350 (DC)

Record details

NPI number1225194210
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2101 East Jefferson Street, Kaiser Permanente, Ppqa, 6 West, Attn: Theresa Brooks, Rockville, MD 20852

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