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DR. BRANDON JAMES WAGNER DC
NPI 1801567524
Chiropractor in Lafayette, IN

Active since September 22, 2021
3778 UNION ST, LAFAYETTE, IN 47905(765) 448-1674 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brandon James Wagner Dc NPPES

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

DR. BRANDON JAMES WAGNER DC (NPI 1801567524) is an individual chiropractor in Lafayette, Indiana, licensed in Indiana (08003257A) and active in the NPI registry since September 2021. He is a graduate of Palmer College Chiropractic - Davenport (2018).

NPPES Registry Identity

NPI1801567524
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRANDON JAMES WAGNERCredential: DC
Location Address3778 UNION STLafayette, IN 47905-4453
Mailing Address6504 Amherst WayZionsville, IN 46077-9138 · (765) 412-2490
Phone(765) 448-1674
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2018
Enumeration DateSeptember 22, 2021
NPPES CertifiedSeptember 22, 2021
✔ NPI 1801567524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08003257A
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3778 UNION ST, Lafayette, IN 47905
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brandon James Wagner Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294121901
PECOS Enrollment IDI20220406000862

Medicare Billing Reassignment

Medicare enrollment records show Brandon Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pure Life Chiropractic, LLC
42 mi
Chiropractor
7149 WHITESTOWN PKWY
Zionsville, IN 46077
  • Reassigned Medicare billing, Indiana enrollment
NPI 1699428185 (219) 964-1188

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
150 services15 patients

Other Providers at the Same Location NPPES 6

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

DR. KEVIN WARREN BUTTERFIELD D.C.
Chiropractor
3778 UNION ST
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1674
JULIA MARIE WAGNER D.C.
Chiropractor
3778 UNION ST
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1674
JOHN S WAGNER D.C.
Chiropractor
3778 UNION ST
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1674
DR. DAVID ALAN BOWMAN D.C
Chiropractor
3778 UNION ST
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1674
DR. JOSHUA MATHIAS BELL D.C.
Chiropractor
3778 UNION ST
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1674
LAFAYETTE CHIROPRACTIC LLC
Chiropractor
3778 UNION ST
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-1674

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 Brandon Wagner's NPI number?

The NPI number for Brandon Wagner is 1801567524. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Brandon Wagner located?

Brandon Wagner practices at 3778 Union St, Lafayette, IN 47905. The listed phone number is (765) 448-1674.

What is Brandon Wagner's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Brandon Wagner enrolled in Medicare?

Yes. Brandon Wagner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brandon Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Wagner reassigns Medicare benefits to Pure Life Chiropractic, LLC (Zionsville, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brandon Wagner was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.