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VAN WALL
NPI 1497175384
Emergency Medicine in Fort Bragg, NC

Active since April 18, 2014
2817 REILLY ST, FORT BRAGG, NC 28310(910) 907-6000 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Van Wall NPPES

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

VAN WALL (NPI 1497175384) is an individual emergency medicine provider in Fort Bragg, North Carolina, licensed in North Carolina (2018-00185) and active in the NPI registry since April 2014. He maintains a secondary practice location in Joint Base Lewis Mcchord.

NPPES Registry Identity

NPI1497175384
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameVAN WALL
Location Address2817 REILLY STFort Bragg, NC 28310
Mailing Address9040 Fitzsimmons DrJoint Base Lewis Mcchord, WA 98431-1000 · (253) 968-2997
Phone(910) 907-6000
Sole ProprietorNo
Enumeration DateApril 18, 2014
Last NPPES UpdateJuly 18, 2018
✔ NPI 1497175384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 2018-00185
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2817 REILLY ST, Fort Bragg, NC 28310
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Secondary Practice Location 1

Location 19040 Fitzsimmons DrJoint Base Lewis McChord, WA 98431-1000 · Phone (253) 968-2997

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARILYN MACKEPRANG
Dental Assistant
2817 REILLY ST
FORT BRAGG, NC 28310
Cumberland County (910) 643-2196
MRS. STEPHANIE BURG LCSW
Social Worker (Clinical)
2817 REILLY ST, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
JACOB MATTHEW HYDE PHARMD
Pharmacist
2817 REILLY ST
FORT BRAGG, NC 28310
Cumberland County (910) 907-6337
CAITLYN OCAMPO
Pharmacist
2817 REILLY ST
FORT BRAGG, NC 28310
Cumberland County (910) 908-2291
ROBIN DENISE MURDOCK
Social Worker (Clinical)
2817 REILLY ST, DEPARTMENT OF THE ARMY
FORT BRAGG, NC 28310
Cumberland County (910) 643-1772
TERESA OVERMAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2817 REILLY ST
FT BRAGG, NC 28310
Cumberland County (910) 907-6337
FRANK LAGA
Dentist
2817 REILLY ST
FORT BRAGG, NC 28310
Cumberland County (910) 643-2196
ALYSSA CORDELL LCSW
Social Worker (Clinical)
2817 REILLY ST
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922

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 Van Wall's NPI number?

The NPI number for Van Wall is 1497175384. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Where is Van Wall located?

Van Wall practices at 2817 Reilly St, Fort Bragg, NC 28310. The listed phone number is (910) 907-6000.

What is Van Wall's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Van Wall was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.