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

Q: 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.

Q: What is Brandon Wagner's specialty?

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

Q: 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 4 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 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: August 09, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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

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