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

Bradley Wallace, MD

Individual provider Surgery Physician · NPI 1881038115

Bradley Wallace, MD practises General Surgery in Colorado Springs, Colorado. Graduated from University of Texas Southwestern Medical School at Dallas in 2013, 13 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
13
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
CO
In the registry since
2013
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

1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533
Phone: (719) 364-6487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13001 E. 17th Place, Aurora, CO 80045-2581 — (303) 724-2680

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0063071 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881038115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2013
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2013 (13 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Hernia repair - groin (open) 1–10 times
Removal of tissue 1–10 times
Upper gastrointestinal (GI) endoscopy for acid reflux 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients168
Services billed 403 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Poudre Valley Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2416 clinicians in the practice; 12 are shown here.

Other providers in Colorado Springs