Jack Wall, MD
NPI 1902869068 · Diagnostic Radiology Physician · Burlington, NC
Jack Wall, MD is a Diagnostic Radiology Physician provider in Burlington, NC (NPI 1902869068).
Provider details
- NPI number
- 1902869068
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 16037 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2007-11-09
Frequently asked questions
- What is Jack Wall's NPI number?
- Jack Wall's National Provider Identifier (NPI) is 1902869068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wall's specialty?
- Jack Wall is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Wall located?
- Jack Wall's practice location on file with NPPES is 1240 Huffman Mill Rd, Burlington, NC 27215-8700.
- What is Jack Wall's phone number?
- The practice phone number listed in the NPPES registry for Jack Wall is (336) 538-7000.
- Is Jack Wall's NPI active?
- Yes — Jack Wall's NPI (1902869068) is active in the NPPES registry as of the last update on 2007-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.