Bradley Wagner

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS3407 Issued in FL

Practice address

2101 S Tamiami TRL
Osprey, FL 34229-9668

Phone

(941) 477-2101

Fax

(941) 303-8188

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Clarity Hearing Care Inc

  • Hearing Instrument Specialist
  • Osprey, FL
  • NPI 1417657511
  NPD Authorized official

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1750776605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S TAMIAMI TRL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299668",
            "telephone_number": "941-477-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S TAMIAMI TRL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299668",
            "telephone_number": "941-477-2101",
            "fax_number": "941-303-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tolis Therapy Pediatric & Outpatient
• Total Therapy Florida LLC
• Total Therapy Services LLC
• Daniel J Van Ingen, PSY.D.
• Vivek & Priyanka Gupta LLC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• John W Wassenaar, MD
• Gretchen White, LCSW LLC
• Wound RX Medical Services of Florida LLC

• Hearing Instrument Specialist in Osprey, FL
• Providers in Osprey, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.