Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRYCE WALL MD
NPI 1962089219
Orthopaedic Surgery in Providence, RI

Active since March 24, 2021PECOS Enrolled
2 DUDLEY ST STE 200, PROVIDENCE, RI 02905(401) 457-2168 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Mar 24, 2021 (2 updates tracked since 2021).

About Dr. Bryce Wall Md NPPES

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

DR. BRYCE WALL MD (NPI 1962089219) is an individual orthopaedic surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD21410) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962089219
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BRYCE WALLCredential: MD
Location Address2 DUDLEY ST STE 200Providence, RI 02905-3252
Mailing Address1 Kettle Point AveEast Providence, RI 02914-5375
Sole ProprietorNo
Enumeration DateMarch 24, 2021
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1962089219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in RI · MD21410
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2 DUDLEY ST STE 200, Providence, RI 02905

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bryce 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905

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 Bryce Wall's NPI number?

The NPI number for Bryce Wall is 1962089219. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Bryce Wall located?

Bryce Wall practices at 2 Dudley St Ste 200, Providence, RI 02905. The listed phone number is (401) 457-2168.

What is Bryce Wall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Bryce Wall enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bryce Wall was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.