Individual
DR. BARBARA R WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10312 KINGFISHER RD W, BRADENTON, FL 34209-3032
(941) 720-6720
(941) 718-4895
Mailing address
10312 KINGFISHER RD W, BRADENTON, FL 34209-3032
(941) 720-6720
(941) 718-4895
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110212152
RAILROAD MEDICARE
FL
01
—
47063
BLUE CROSS / BLUE SHIELD
FL
Enumeration date
07/05/2005
Last updated
02/17/2026
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