BRYAN T WALL MD
NPI 1790712792
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Phoenix, AZ

Active since June 26, 2006PECOS Enrolled
82.49/100
CMS Quality Rating
18444 N 25TH AVE, STE 210, PHOENIX, AZ 85023(623) 537-5600(866) 939-2673 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan T Wall Md NPPES

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

BRYAN T WALL MD (NPI 1790712792) is an individual adult reconstructive orthopaedic surgery provider in Phoenix, Arizona, licensed in Arizona (36177) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790712792
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameBRYAN T WALLCredential: MD
Location Address18444 N 25TH AVE, STE 210Phoenix, AZ 85023-1264
Mailing Address18444 N 25th Ave, Ste 310Phoenix, AZ 85023-1266 · (623) 537-5600 · Fax (866) 939-2673
Fax(866) 939-2673
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
NPI 1790712792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in AZ · 36177
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 36177 (AZ)
18444 N 25TH AVE, Phoenix, AZ 85023

Other Identifiers 10

Other5550830006AZ · Medicare Nsc Anthem
Other5550830008AZ · Medicare Nsc Swv
Other5550830009AZ · Medicare Nsc Az North
Other5550830007AZ · Medicare Nsc Dv
Other5550830010AZ · Medicare Nsc Gilbert
OtherP00618125AZ · Rr Medicare
Other5550830003AZ · Medicare Nsc Peoria
Medicaid159666AZ
Other5550830001AZ · Medicare Nsc Scw
Other5550830004AZ · Medicare Nsc Pv

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bryan T Wall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.09
Promoting Interoperability100
Improvement Activities40
Cost68.54

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.

Physical Therapist
18444 N 25TH AVE, SUITE 220
PHOENIX, AZ 85023
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
18444 N 25TH AVE, SUITE 420-712
PHOENIX, AZ 85023
Physician Assistant
18444 N 25TH AVE, STE 210
PHOENIX, AZ 85023
Orthopaedic Surgery
18444 N 25TH AVE, STE 210
PHOENIX, AZ 85023
Pain Medicine (Interventional Pain Medicine)
18444 N 25TH AVE, STE 210
PHOENIX, AZ 85023
Home Health
18444 N 25TH AVE
PHOENIX, AZ 85023
Physical Therapist
18444 N 25TH AVE, SUITE 220
PHOENIX, AZ 85023
Physician Assistant (Surgical)
18444 N 25TH AVE, SUITE 210
PHOENIX, AZ 85023

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 Bryan Wall's NPI number?

The NPI number for Bryan Wall is 1790712792. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Bryan Wall located?

Bryan Wall practices at 18444 N 25th Ave Ste 210, Phoenix, AZ 85023. The listed phone number is (623) 537-5600.

What is Bryan Wall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Bryan Wall enrolled in Medicare?

Yes. Bryan Wall is registered in the Medicare PECOS enrollment system.

What insurance does Bryan Wall accept?

Health plans from Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Bryan Wall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Wall was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.