Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brent Wall, DO

Individual provider Anesthesiology Physician · NPI 1902947757

Brent Wall, DO is an Anesthesiology in Layton, Utah. Qualified in 2005, 21 years ago. Practices with North Davis Anesthesiology LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Tennessee and Utah.

Years since qualifying
21
Licensed in
TN, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1600 W Antelope Dr
Layton, UT 84041-1142
Phone: (801) 807-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 343220-1204 (UT)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2491 (TN)

Record details

NPI number1902947757
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 12, 2007
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address2082 Hunters Gln, Layton, UT 84040-3154

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice North Davis Anesthesiology Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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