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

Mr. Bruce A Wallstedt, MD

Individual provider Family Medicine Physician · NPI 1770578882

Mr. Bruce A Wallstedt, MD is a Family Practice in Brentwood, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 1998, 28 years ago. Practices with Ch Mssp Services Tn PLLC, a 43-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
28
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2005
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

6323 Canterbury Close
Brentwood, TN 37027-4870
Phone: (615) 504-9479
Fax: (615) 730-7334
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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 MD25914 (TN)

Record details

NPI number1770578882
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 14, 2005
Last updated in NPPESMarch 17, 2010

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Ch Mssp Services Tn Pllc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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