ALAN S. WAGNER M.D.
NPI 1497701684
Radiology - Diagnostic Radiology in Rockford, IL

Active since May 26, 2006
3849 N PERRYVILLE RD, ROCKFORD, IL 61114(815) 397-5554(866) 914-7534 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alan S. Wagner M.d. NPPES

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

ALAN S. WAGNER M.D. (NPI 1497701684) is an individual diagnostic radiology provider in Rockford, Illinois, licensed in Illinois (36-099687) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1497701684
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameALAN S. WAGNERCredential: M.D.
Location Address3849 N PERRYVILLE RDRockford, IL 61114-8080
Mailing Address3849 N Perryville RdRockford, IL 61114-8080 · (815) 397-5554 · Fax (866) 914-7534
Fax(866) 914-7534
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateMay 19, 2011
NPI 1497701684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 36-099687
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3849 N PERRYVILLE RD, Rockford, IL 61114

Other Identifiers 3

Medicare UPINH09829IL
Medicare ID-Type UnspecifiedL75829IL
Medicaid036099687IL

Other Providers at the Same Location NPPES 2

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

Radiology (Diagnostic Radiology)
3849 N PERRYVILLE RD
ROCKFORD, IL 61114
Specialist
3849 N PERRYVILLE RD
ROCKFORD, IL 61114

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 Alan Wagner's NPI number?

The NPI number for Alan Wagner is 1497701684. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Alan Wagner located?

Alan Wagner practices at 3849 N Perryville Rd, Rockford, IL 61114. The listed phone number is (815) 397-5554.

What is Alan Wagner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Alan Wagner was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.