Kenneth Wadginski

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

5-3845 Combat Medic Drive
Fort Bragg, NC 28310-9610

Phone

(910) 394-1059

NPI assigned

May 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1285209759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5-3845 COMBAT MEDIC DRIVE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283109610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-3845 COMBAT MEDIC DRIVE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283109610",
            "telephone_number": "910-394-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADGINSKI",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Alison Voi, CNM,MSN
• Albert Volpe, PA-C
• Evan Voss
• Franklin Devon Waddell, M.D.
• Steven Wade, P.T., A.T.C.
• Vern Alan Wagner
• Paul Allen Walck, PA
• Brandi Marie Walker, PHD
• Brooke Dionne Walker, PMHNP
• Rachel Walker, PA-C

• Independent Duty Corpsman in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.