DR. BRENT WAGNER M.D. NPI 1720019177

NPI Information

  • NPI: 1720019177
  • Provider Name: DR. BRENT WAGNER, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7703 FLOYD CURL DR # MC7882
    NEPHROLOGY/MEDICINE/UTHSCSA
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 567-4700

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NPI Details

DR. Brent Wagner, M.D. is a nephrology internal medicine in San Antonio, TX with 27 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Brent Wagner, M.D. NPI is 1720019177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

7703 FLOYD CURL DR # MC7882
NEPHROLOGY/MEDICINE/UTHSCSA
SAN ANTONIO, TX
ZIP 78229-901
Phone: (210) 567-4700
Fax: (210) 567-4731

The NPI 1720019177 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 enumeration date for this NPI number is 7/5/2006 and was last updated on 10/29/2024.

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
1207RN0300XInternal MedicineNephrologyL2044TEXASNo
2207RN0300XInternal MedicineNephrologyMD2018-0891NEW MEXICOYes
3207R00000XInternal MedicineL2044TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1174006001MEDICAIDTEXAS

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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