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DR. BRIAN KEITH WAGNER D.P.M. NPI 1093743502


NPI Information

NPI: 1093743502
Provider Name: DR. BRIAN KEITH WAGNER, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
11 SOUTH RD LOWR LEVEL20
FARMINGTON, CT
ZIP 06032
Phone: (860) 470-5703
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DR. Brian Keith Wagner, D.P.M. is a foot surgery podiatrist in Farmington, CT with 21 years of experience. DR. Brian Keith Wagner, D.P.M. NPI is 1093743502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11 SOUTH RD LOWR LEVEL20
FARMINGTON, CT
ZIP 06032-483
Phone: (860) 470-5703
Fax: (860) 606-8025

The NPI 1093743502 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).

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.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)

The enumeration date for this NPI number is 6/30/2006 and was last updated on 8/20/2020.


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
1213E00000XPodiatrist000793CONNECTICUTNo
2213ER0200XPodiatristRadiology000793CONNECTICUTNo
3213ES0103XPodiatristFoot & Ankle Surgery000862CONNECTICUTNo
4213ES0131XPodiatristFoot Surgery000793CONNECTICUTYes

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.