DR. GRANT PATRICK WAGNER MD
NPI 1205618857
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Q: What is Grant Wagner's NPI number?

The NPI number for Grant Wagner is 1205618857. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Q: What is Grant Wagner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Grant Wagner was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 18, 2023PECOS Enrolled

625 19TH ST S, BIRMINGHAM, AL 35233(205) 996-5193 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Grant Patrick Wagner Md NPPES

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

DR. GRANT PATRICK WAGNER MD (NPI 1205618857) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205618857

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. GRANT PATRICK WAGNERCredential: MD

Location Address625 19TH ST SBirmingham, AL 35233-1900

Mailing Address625 19th St SBirmingham, AL 35233-1900 · (205) 996-5193

Phone(205) 996-5193

Sole ProprietorNo

Enumeration DateOctober 18, 2023

Last NPPES UpdateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1205618857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

625 19TH ST S, Birmingham, AL 35233

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grant Patrick Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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