Bradley Waggoner MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BRADLEY WAGGONER MD PA

Practice address

21216 Northwest Fwy
Suite 540
Cypress, TX 77429-4695

Phone

(281) 640-8373

Fax

(281) 640-8377

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bradley S Waggoner, MD

Title

Pres

Phone

(281) 955-8884

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1053419564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY",
            "address_2": "SUITE 540",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294695",
            "telephone_number": "281-640-8373",
            "fax_number": "281-640-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY",
            "address_2": "SUITE 540",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294695",
            "telephone_number": "281-640-8373",
            "fax_number": "281-640-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY WAGGONER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "281-955-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasie P Boyd, LCSW, LCDC
• BPS 80285 PLLC
• BPTN Investment Series LLC
• BPTN Investment Series LLC
• Tracie Bradford
• Sherry Lynn Bradley, PHARMD
• Emily Bradshaw, LPC
• Brain & Spine Surgery Associates, P.a.
• Ashley Brand, NP
• Felicia Annette Brashears, LPC-A

• Surgery Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.