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

William Robert Wallace, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437892676

William Robert Wallace, MD is a Family Practice in Tuscaloosa, Alabama. Qualified in 2022, 4 years ago. Practices with Island Medical Alabama LLC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2022
Specialties on file
2
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

1601 University Blvd E
Tuscaloosa, AL 35404-2920
Phone: (205) 349-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7457 — (205) 348-1770

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence L.5697R (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1437892676
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7457

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Island Medical Alabama Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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