Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRADLEY DUANE WAGONER DDS
NPI 1225019201
Dentist - General Practice in Marion, IA

Q: What is Bradley Wagoner's NPI number?

The NPI number for Bradley Wagoner is 1225019201. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Bradley Wagoner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Wagoner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 November 08, 2005

955 31ST ST, MARION, IA 52302(319) 377-4867(319) 377-4383 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Bradley Duane Wagoner Dds NPPES

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

DR. BRADLEY DUANE WAGONER DDS (NPI 1225019201) is an individual general practice provider in Marion, Iowa, licensed in Iowa (6894) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1225019201

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRADLEY DUANE WAGONERCredential: DDS

Location Address955 31ST STMarion, IA 52302-3788

Mailing Address3400 Crown AveMarion, IA 52302-1446 · (319) 373-0322

Phone(319) 377-4867

Fax(319) 377-4383

Sole ProprietorNo

Enumeration DateNovember 8, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1225019201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IA · 6894

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

955 31ST ST, Marion, IA 52302

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Other Identifiers 1

Medicaid0207225IA

Other Providers at the Same Location NPPES 4

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

FONTAINE WALKER DDS

Dentist

955 31ST ST, SUITE E
MARION, IA 52302

Linn County (319) 373-0192

AMBER HOFF MA, LMFT

Counselor (Mental Health)

955 31ST ST, SUITE B
MARION, IA 52302

Linn County (319) 481-2230

DR. LAURA ELIZABETH FAUCHIER D.D.S.

Dentist

955 31ST ST
MARION, IA 52302

Linn County (319) 377-4867

MARION DENTAL, PC

Clinic/Center (Dental)

955 31ST ST
MARION, IA 52302

Linn County (319) 377-4867

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 Bradley Wagoner's NPI number?

The NPI number for Bradley Wagoner is 1225019201. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Bradley Wagoner located?

Bradley Wagoner practices at 955 31st St, Marion, IA 52302. The listed phone number is (319) 377-4867.

What is Bradley Wagoner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bradley Wagoner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.