Brent N Wall, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6089352-1202 Issued in UT

Practice address

205 N Main St
Spanish Fork, UT 84660-1726

Phone

(801) 798-2515

Fax

(801) 798-2510

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Spinal Health and Rehabilitation PCGroup PAC ID 2860490430, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Utah Spinal Health and Rehabilitation PC

  • Chiropractor
  • Spanish Fork, UT
  • NPI 1386759454
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1346263100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601726",
            "telephone_number": "801-798-2515",
            "fax_number": "801-798-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601726",
            "telephone_number": "801-798-2515",
            "fax_number": "801-798-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "BRENT",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6089352-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janna Voss
• Wal-Mart Stores Inc
• Colton Blair Waldron
• Emily Walker, RN
• Michael Walker
• Walmart Inc.
• Walmart Inc.
• Matthew Walton, D.O.
• Samuel Mathias Walton, LMT
• Heather Warner, APRN

• Chiropractor in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.