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BC WALL MEDICAL GROUP PA
NPI 1164610580
Internal Medicine in Gastonia, NC

Active since October 10, 2007
1574 UNION ROAD, A, GASTONIA, NC 28054(704) 866-4607(704) 866-5292 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bc Wall Medical Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BC WALL MEDICAL GROUP PA (NPI 1164610580) is a healthcare organization registered as an internal medicine in Gastonia, North Carolina and active in the NPI registry since October 2007. The organization lists Brian K Wall, President, as its authorized official.

NPPES Registry Identity

NPI1164610580
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBC WALL MEDICAL GROUP PA
Location Address1574 UNION ROAD, AGastonia, NC 28054-5633
Mailing Address557 Cameron Pointe LnBelmont, NC 28012-6702 · (704) 825-2363 · Fax (704) 825-2363
Phone(704) 866-4607
Fax(704) 866-5292
Organization SubpartNo
Authorized OfficialBrian K WallPresident · (704) 866-4607
Enumeration DateOctober 10, 2007
✔ NPI 1164610580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 9701190
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1574 UNION ROAD, Gastonia, NC 28054
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Other Identifiers 3

Medicare PIN2243496ANC
Medicare UPING20887NC
Medicaid891057PNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bc Wall Medical Group PA's NPI number?

The NPI number for Bc Wall Medical Group PA is 1164610580. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is Bc Wall Medical Group PA located?

Bc Wall Medical Group PA is located at 1574 Union Road A, Gastonia, NC 28054. The listed phone number is (704) 866-4607.

What is Bc Wall Medical Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Bc Wall Medical Group PA was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.