BRIANNA KYLE WALLACE DC NPI 1164085411

NPI Information

  • NPI: 1164085411
  • Provider Name: BRIANNA KYLE WALLACE, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 690 RIVERSIDE AVE
    ADRIAN, MI
    ZIP 49221
  • Phone: (177) 594-1835

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NPI Details

Brianna Kyle Wallace, DC is a chiropractor in Adrian, MI with 7 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Brianna Kyle Wallace, DC NPI is 1164085411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:2019

The provider's business location address is:

690 RIVERSIDE AVE
ADRIAN, MI
ZIP 49221-544
Phone: (177) 594-1835

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 4/22/2019 and was last updated on 1/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2301010808MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12301010808MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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