Brian Keith Wall, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

20143 Issued in MS

Practice address

2301 S Lamar Blvd
Oxford, MS 38655-5373

Phone

(662) 232-8568

Fax

(662) 513-1450

NPI assigned

Jul 24, 2006

Last updated

Nov 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

80.87 of 100Reported as group

Quality

60.45

Promoting interoperability

77

Improvement activities

40

Cost

68.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.yourcareuniverse.net/tenant/f327cec7-4de5-4375-82d1-b7722f053133

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Healthcare System Inc

  dba Williams Medical Clinic

  • Rural Health Clinic/Center
  • Holly Springs, MS
  • NPI 1821143256
  Medicare reassignment NPD
• Panola Physician Group, LLC

  • Family Medicine Physician
  • Batesville, MS
  • NPI 1528528874
  Medicare reassignment NPD
• Quitman Community Hospital

  • Critical Access Hospital
  • Marks, MS
  • NPI 1063177228
  Medicare reassignment NPD
• Alliance Healthcare System

  • General Acute Care Hospital
  • Holly Springs, MS
  • NPI 1801086574
  NPD
• Alliance Healthcare System, Inc

  • Psychiatric Hospital
  • Holly Springs, MS
  • NPI 1912182197
  NPD
• Panola Physician Group, LLC

  dba Pain Management Center of North Mississippi

  • Pain Clinic/Center
  • Tupelo, MS
  • NPI 1790385417
  NPD
• Quitman Community Hospital

  dba Quitman Family & Specialty Clinic

  • Clinic/Center
  • Marks, MS
  • NPI 1346973625
  NPD
• Quitman Community Hospital

  dba Quitman Community Senior Care

  • Psychiatric Hospital Unit
  • Marks, MS
  • NPI 1841055308
  NPD
• Sunrise Medical Group PLLC

  • Hospitalist Physician
  • Batesville, MS
  • NPI 1750202461
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1326060070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827",
            "telephone_number": "870-934-5821",
            "fax_number": "870-934-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555373",
            "telephone_number": "662-232-8568",
            "fax_number": "662-513-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9701190",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MS",
            "license": "20143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891057P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00680358",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Hill Walker, DPT
• Ciara Latreas' Walker, M.ED
• Kendra Larsen Walker, MS, CMHT
• Nyesha Walker
• Selena Trotter Walker
• April Reed Wallace, CCC-SLP
• Ashlee Wallace, RN
• David R Wallace, PT
• Walter Moore Wallace, L.C.S.W.
• Jason Waller, DO

• Hospitalist Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Hospitalist Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.