DR. BRYAN DEAN WALLS D.O. NPI 1710982129

NPI Information

  • NPI: 1710982129
  • Provider Name: DR. BRYAN DEAN WALLS, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2306 SE 39TH AVE
    PORTLAND, OR
    ZIP 97214
  • Phone: (503) 963-9181

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NPI Details

DR. Bryan Dean Walls, D.O. is a family medicine in Portland, OR with 30 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Bryan Dean Walls, D.O. NPI is 1710982129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduation Year:1996

The provider's business location address is:

2306 SE 39TH AVE
PORTLAND, OR
ZIP 97214-918
Phone: (503) 963-9181
Fax: (503) 963-9182

The NPI 1710982129 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Automated urinalysis test (HCPCS:81003)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Red blood cell sedimentation rate, to detect inflammation, automated (HCPCS:85652)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/14/2005 and was last updated on 9/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineDO20625OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R104668MEDICARE PINOREGON
2H01965MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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