Individual provider Active NPI

Bradley Scott Waggoner, MD

  • Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1295833796
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L9953 Issued in TX
Practice address
9200 Pinecroft Dr Ste 255
Shenandoah, TX 77380-3286
Phone
(281) 419-8400
Fax
(281) 292-1972
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L9953 TX Primary

Addresses

Primary practice location

9200 Pinecroft Dr Ste 255
Shenandoah, TX 77380-3286

Mailing address

9200 Pinecroft Dr Ste 255
Shenandoah, TX 77380-3286
Phone (281) 419-8400

Other practice location 1

9200 Pinecroft Dr Ste 250
Shenandoah, TX 77380-3286
Phone (281) 419-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050203000101 TX Practitioner - General Surgery 2769433101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodlands Surgical Associates PLLCGroup PAC ID 7810184645, 11 clinicians

Practice addresses (Care Compare)

17200 St Lukes Way
St Lukes Woodlands Hospital
The Woodlands, TX 77384-8007
Phone (936) 266-2008

17201 Interstate 45 S
The Woodlands, TX 77385-3311
Phone (936) 270-2000

9200 Pinecroft Dr
Suite 255
Shenandoah, TX 77380-3286
Phone (281) 419-8400

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (281) 364-2300

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Merit-based Incentive Payment System (MIPS)

Final score
76.21 of 100Reported as group
Quality
40
Improvement activities
40
Cost
94.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9953TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Surgical Associates PLLC Surgery CurrentSince Dec 1, 2018 Accepting new patients

Locations

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

9200 Pinecroft Dr
Ste 250
Shenandoah, TX 77380
Phone (281) 419-8400

9200 Pinecroft Dr
Ste 255
Shenandoah, TX 77380
Phone (281) 419-8400

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

Interoperability endpoints

  • Direct secure messaging: bwaggoner67030@memorialhermann.direct-ci.com

Organizations & group practices 1

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1295833796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR STE 255",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803286",
            "telephone_number": "281-419-8400",
            "fax_number": "281-292-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR STE 255",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803286",
            "telephone_number": "281-419-8400",
            "fax_number": "281-292-1972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Pinecroft Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803286",
            "country_code": "US",
            "telephone_number": "281-419-8400",
            "fax_number": "281-292-1972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "BRADLEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L9953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.