Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Bradford Anthony Wallace Jr.

Occupational Therapy Assistant in Newark, DE · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609821636

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Registry record

Entity type Individual (Type 1)

Name Mr. Bradford Anthony Wallace Jr.

Sex Male

Practice address 130 Executive Dr, Newark, DE, 19702

Phone (302) 292-3454

Fax (302) 292-3464

Enumeration date May 25, 2006

Last updated in NPPES Jul 13, 2026

Taxonomy & licenses

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License J2-0000629 (DE) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bradford Wallace?

The National Provider Identifier (NPI) for Bradford Wallace is 1609821636, a Type 1 (individual) record in the CMS NPPES registry.

Where does Bradford Wallace practice?

The practice location on file with NPPES is in Newark, DE. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Jamie Soutar Physical Therapy Assistant · Newark, DE NPI 1295781243

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-13.