1. Home
  2. Directory
  3. North Carolina
  4. Burlington
  5. Radiology
  6. NPI Profile

JACK G WALL MD
NPI 1902869068
Radiology - Diagnostic Radiology in Burlington, NC

Active since April 10, 2006
1240 HUFFMAN MILL RD, BURLINGTON, NC 27215(336) 538-7000(336) 538-7547 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack G Wall Md NPPES

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

JACK G WALL MD (NPI 1902869068) is an individual diagnostic radiology provider in Burlington, North Carolina, licensed in North Carolina (16037) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1902869068
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJACK G WALLCredential: MD
Location Address1240 HUFFMAN MILL RDBurlington, NC 27215-8700
Mailing AddressPo Box 11546Knoxville, TN 37939-1546 · (336) 538-7000 · Fax (336) 538-7547
Phone(336) 538-7000
Fax(336) 538-7547
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateNovember 9, 2007
✔ NPI 1902869068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NC · 16037
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1240 HUFFMAN MILL RD, Burlington, NC 27215
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINE07200NC
Medicare PIN213352ANC
Other85385NC · Bcbs
Medicaid8985385NC

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.

MR. BRYAN GRAY FNP-C
Nurse Practitioner (Family)
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 586-3935
MARK RANDALL NOLES CRNA
Nurse Anesthetist, Certified Registered
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (501) 590-4790
RENITA RICHMOND FOXX LCMHC, LCAS, CCS
Counselor (Mental Health)
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 538-7000
ANDREW ROBERT KARENZ MD
Anesthesiology
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 538-7000
MICHAEL SIMPSON PHARMD
Pharmacist
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 538-7797
ARMC PHYSICIANS CARE INC
Internal Medicine (Critical Care Medicine)
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (919) 538-7000
MARY FUNKE M.D.
Emergency Medicine
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 538-7000
THUY HOANG
Nurse Anesthetist, Certified Registered
1240 HUFFMAN MILL RD
BURLINGTON, NC 27215
Alamance County (336) 538-7000

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 Jack Wall's NPI number?

The NPI number for Jack Wall is 1902869068. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Jack Wall located?

Jack Wall practices at 1240 Huffman Mill Rd, Burlington, NC 27215. The listed phone number is (336) 538-7000.

What is Jack Wall's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jack Wall was last updated on November 9, 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.