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
  • Specialization: Foot Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11 SOUTH RD LOWR LEVEL20
    FARMINGTON, CT
    ZIP 06032
  • Phone: (860) 470-5703

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NPI Details

DR. Brian Keith Wagner, D.P.M. is a foot surgery podiatrist in Farmington, CT with 23 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.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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