DR. PHILIP JON WAGNER DC
NPI 1043296171
Chiropractor - Internist in Beaufort, SC

Active since December 20, 2005Accepts Medicare Assignment
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS, BEAUFORT, SC 29902(843) 228-5577(843) 228-5196 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Philip Jon Wagner Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP JON WAGNER DC (NPI 1043296171) is an individual internist provider in Beaufort, South Carolina, licensed in South Carolina (1633) and active in the NPI registry since December 2005. He is a graduate of Other (1989).

NPPES Registry Identity

NPI1043296171
Entity TypeIndividualMale
Primary Taxonomy111NI0900X
Provider Legal NameDR. PHILIP JON WAGNERCredential: DC
Location Address1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRSBeaufort, SC 29902-6122
Mailing Address1 Pinckney Blvd, Naval Hospital Beaufort Attn Professional AffairsBeaufort, SC 29902-6122 · (843) 228-5577 · Fax (843) 228-5196
Fax(843) 228-5196
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateDecember 20, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1043296171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · InternistChiropractic Providers
Taxonomy Code111NI0900X
License Licensed in SC · 1633
Definition
The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease.
1 PINCKNEY BLVD, Beaufort, SC 29902

Other Identifiers 1

Medicare UPIN000OTH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip Jon Wagner Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769911577
PECOS Enrollment IDI20250123002127

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Physician Assistant (Medical)
1 PINCKNEY BLVD, ATTN PROFESSIONAL AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Dentist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Physical Therapist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Nurse Anesthetist, Certified Registered
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS COORD
BEAUFORT, SC 29902
Orthopaedic Surgery
1 PINCKNEY BLVD
BEAUFORT, SC 29902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Wagner's NPI number?

The NPI number for Philip Wagner is 1043296171. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Philip Wagner located?

Philip Wagner practices at 1 Pinckney Blvd Naval Hospital Beaufort Attn Professional Affairs, Beaufort, SC 29902. The listed phone number is (843) 228-5577.

What is Philip Wagner's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Internist, with taxonomy code 111NI0900X.

Is Philip Wagner enrolled in Medicare?

Yes. Philip Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Philip Wagner accept?

Health plans from Providence Health Plan list Philip Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Wagner was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.