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BRADFORD S. WAGNER MD NPI 1083848030


NPI Information

NPI: 1083848030
Provider Name: BRADFORD S. WAGNER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: INTERMED PA

PECOS Registration: Yes

Address:
50 FODEN RD STE 3
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 874-1489
Get Directions

Bradford S. Wagner, MD is a family medicine in South Portland, ME with 15 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. Bradford S. Wagner, MD NPI is 1083848030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2009

The provider's business location address is:

50 FODEN RD STE 3
SOUTH PORTLAND, ME
ZIP 04106-718
Phone: (207) 874-1489
Fax: (207) 523-8590

The NPI 1083848030 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.

  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 5/6/2009 and was last updated on 10/1/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD19486MAINEYes
2207QS0010XFamily MedicineSports MedicineMD19486MAINENo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.