Active NPI
Barbara R Wagner, M.D.
- Internal Medicine Physician
- Bradenton, FL
National Provider Identifier
1275530248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME78281
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110212152 | Other | FL | RAILROAD MEDICARE |
| 47063 | Other | FL | BLUE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Attack Prevention Center | Current | Accepting new patients | |
| Advanced Cardiology PA | Past | Accepting new patients | |
| Manatee Medical Specialists LLC | Internal Medicine | Past | 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.
-
- Medical Specialty Clinic/Center
- Bradenton, FL
- NPI 1730489105
-
- Interventional Cardiology Physician
- Bradenton, FL
- NPI 1598853962
-
dba Palma Sola Medical Associates
- Internal Medicine Physician
- Bradenton, FL
- NPI 1801801550
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
- Katie Vu, APRN
- Quynh Thuy Tuyet Vu, PHARMD
- Vulnerati, LLC
- Patricia A Vulopas, PT
- Alexis Wade, LMHC
- Waguih El Masry MD PA
- Shannon Waid, LMT, CST
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1004)
- Wal-Mart Stores East LP (Wal-Mart Vision Center 30-5727)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-3474)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.