Doctor profile · Federal record
Dr. BRAD WALL, DMD
General Practice Dentistry · MISSOULA, MT
- NPI 1619072444
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1001 SW HIGGINS, SUITE 107
MISSOULA, MT 59803
(406) 728-6068
fax (406) 829-0868
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Montana #MT1999
- Medicaid
- MT #0112242
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619072444. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$63
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $63.10 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
23
Patients
22
Total drug cost
$56
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 23 | 22 | $56 |