DR. BRIAN LEO WAGGONER M.D.
NPI 1679544548
Pediatrics in Clive, IA

Active since January 30, 2006
2555 BERKSHIRE PKWY STE A, CLIVE, IA 50325(515) 987-0051(515) 987-0054 Get Directions Write a Review

NPPES record last updated: December 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian Leo Waggoner M.d. NPPES

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

DR. BRIAN LEO WAGGONER M.D. (NPI 1679544548) is an individual pediatrics provider in Clive, Iowa, licensed in Iowa (28129) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1679544548
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BRIAN LEO WAGGONERCredential: M.D.
Location Address2555 BERKSHIRE PKWY STE AClive, IA 50325-4646
Mailing Address2555 Berkshire Pkwy Ste AClive, IA 50325-4646 · (515) 987-0051 · Fax (515) 987-0054
Fax(515) 987-0054
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateDecember 23, 2016
NPI 1679544548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IA · 28129
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2555 BERKSHIRE PKWY STE A, Clive, IA 50325

Other Identifiers 4

Other03583IA · Bcbs
Other47500IA · Bcbs
Medicare UPINFO2139IA
Medicaid0071670IA

Accepted Insurance

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.

Pediatrics
2555 BERKSHIRE PKWY STE A
CLIVE, IA 50325
Nurse Practitioner (Pediatrics)
2555 BERKSHIRE PKWY STE A
CLIVE, IA 50325

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 Brian Waggoner's NPI number?

The NPI number for Brian Waggoner is 1679544548. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Brian Waggoner located?

Brian Waggoner practices at 2555 Berkshire Pkwy Ste A, Clive, IA 50325. The listed phone number is (515) 987-0051.

What is Brian Waggoner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Brian Waggoner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Brian Waggoner 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 Brian Waggoner was last updated on December 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.