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Bryan T Wall, MD

Adult Reconstructive Orthopaedic Surgery Physician in Phoenix, AZ · enumerated 2006.

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

National Provider Identifier

1790712792

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Registry record

Entity type Individual (Type 1)
Name Bryan T Wall
Credential MD
Sex Male
Practice address 18444 N 25th Ave, Ste 210, Phoenix, AZ, 85023
Fax (866) 939-2673
Enumeration date Jun 26, 2006
Last updated in NPPES Apr 23, 2024

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 36177 (AZ) Secondary
207XS0114X Adult Reconstructive Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 36177 (AZ) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
5550830006 Other AZ MEDICARE NSC ANTHEM
5550830008 Other AZ MEDICARE NSC SWV
5550830009 Other AZ MEDICARE NSC AZ NORTH
5550830007 Other AZ MEDICARE NSC DV
5550830010 Other AZ MEDICARE NSC GILBERT
P00618125 Other AZ RR MEDICARE
5550830003 Other AZ MEDICARE NSC PEORIA
159666 Medicaid AZ -
5550830001 Other AZ MEDICARE NSC SCW
5550830004 Other AZ MEDICARE NSC PV

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 Bryan Wall?
The National Provider Identifier (NPI) for Bryan Wall is 1790712792, a Type 1 (individual) record in the CMS NPPES registry.
Where does Bryan Wall practice?
The practice location on file with NPPES is in Phoenix, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-23.