Active NPI
Brett D Wagner, D.O.
- Emergency Medicine Physician
- Lancaster, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 538
- Practice address
- 800 W Meeting St
Lancaster, SC 29720-2202 - Phone
- (803) 286-1479
- Fax
- (803) 286-1369
- NPI assigned
- May 20, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 538 | SC | Primary |
Addresses
Primary practice location
800 W Meeting St
Lancaster, SC 29720-2202
Mailing address
8000 Rocky View Rd
Belmont, NC 28012-6740
Phone (704) 266-4179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E Grover St
Shelby, NC 28150-3917
Phone (704) 487-3131
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Emergency Physicians, P.a. | Emergency Medicine | Current | Accepting new patients |
| Carolinas Emergency Physicians, P.a. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Gaston County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Craven County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Wren Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Cortland County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Services of the Southeast, Inc | Emergency Medicine | Past | Accepting new patients |
| South Carolina Em-I Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Specialists Inc | Emergency Medicine | Past | Accepting new patients |
| Linville Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Kings Mountain, NC
- NPI 1285952671
-
- Emergency Medicine Physician
- Shelby, NC
- NPI 1316264195
-
- Emergency Medicine Physician
- Lancaster, SC
- NPI 1881642221
-
- Emergency Medicine Physician
- Lancaster, SC
- NPI 1366490708
-
- Emergency Medicine Physician
- Cortland, NY
- NPI 1609816024
-
- Emergency Medicine Physician
- New Bern, NC
- NPI 1164462586
-
- Emergency Medicine Physician
- Gastonia, NC
- NPI 1003855941
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1912973850
-
- Emergency Medicine Physician
- Linville, NC
- NPI 1962656157
-
- Emergency Medicine Physician
- Salisbury, NC
- NPI 1770541245
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Cleveland
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1982658241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 ROCKY VIEW RD",
"city": "BELMONT",
"state": "NC",
"postal_code": "280126740",
"telephone_number": "704-266-4179",
"fax_number": "727-507-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W MEETING ST",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202202",
"telephone_number": "803-286-1479",
"fax_number": "803-286-1369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "BRETT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
- Nicole Ventour, LCSW, LISW-CP/S
- Geoffrey Vickers, PTA
- Vital Steps Chiropractic LLC
- Tirth Hareshkumar Vyas
- Charles Foster Wade, DMD
- Jonique Richelle Waiters, ADC
- Timothy S Wakefield, DC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1030)
- Wal-Mart Stores East, LP (Vision Center 30-1030)
- Muhammad Waleed
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.