Individual provider Active NPI

Barbara R Wagner, M.D.

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1275530248
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78281 Issued in FL
Practice address
10312 Kingfisher Rd W
Bradenton, FL 34209-3032
Phone
(941) 720-6720
Fax
(941) 718-4895
NPI assigned
Jul 5, 2005
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78281 FL Primary

Addresses

Primary practice location

10312 Kingfisher Rd W
Bradenton, FL 34209-3032

Mailing address

10312 Kingfisher Rd W
Bradenton, FL 34209-3032
Phone (941) 720-6720

Other identifiers 2

IdentifierTypeStateIssuer
110212152OtherFLRAILROAD MEDICARE
47063OtherFLBLUE CROSS / BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000905 FL Practitioner - Internal Medicine 0547364168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Attack Prevention Center CurrentSince Jan 4, 2014 Accepting new patients
Advanced Cardiology PA Past Accepting new patients
Manatee Medical Specialists LLC Internal Medicine PastSince Oct 1, 2000 Accepting new patients

Locations

4900 Manatee Ave W
Ste 201
Bradenton, FL 34209
Phone (941) 746-5200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1275530248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10312 KINGFISHER RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093032",
            "telephone_number": "941-720-6720",
            "fax_number": "941-718-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10312 KINGFISHER RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093032",
            "telephone_number": "941-720-6720",
            "fax_number": "941-718-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "BARBARA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110212152",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "47063",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.