Bradley Thomas Wagner

CRNA | Nurse Practitioner | 8+ years Exp

611 Sherman Ave E, Fort Atkinson
  Wisconsin, 53538-1960
920-568-5000
Accepts Medicare Nurse Anesthetist in Fort Atkinson, Wisconsin.
Bradley Thomas Wagner is a Fort Atkinson, Wisconsin based nurse practitioner with 8 years of experience in . He completed his graduation in 2016. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Bradley Thomas Wagner is 190070-30 in Wisconsin. His current practice location is 611 Sherman Ave E, Fort Atkinson. Patients can reach him at 920-568-5000. Bradley Thomas Wagner is CRNA and his NPI number (Unique professional ID assigned by NPPES) is 1043581770.
Bradley Thomas Wagner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Bradley Thomas Wagner speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Bradley Thomas Wagner
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: CRNA
Experience: 8+ years
Medical School Attended:Other
Graduation Year:2016
Accepts Medicare Assignment:Yes
Practice Address:611 Sherman Ave E, Fort Atkinson,
Wisconsin, 53538-1960
Phone:920-568-5000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7214233295
Enrollment ID: I20160317001103
NPI Number: 1043581770
NPI Enumeration Date: 26 Jan, 2012
NPI Last Update On: 25 Oct, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bradley Thomas Wagner are as mentioned below.
License NumberSpecializationStateStatus
190070-30 WisconsinPrimary
190070-30Nurse Practitioner WisconsinSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(520071)Fort atkinson, WIAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Bradley Thomas Wagner is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Fort Healthcare Inc (0840189718)111
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Bradley Thomas Wagner
Po Box 249,
Fort Atkinson, Wisconsin
Zip: 53538-0249
Phone Number: 920-563-4466
Patients can reach Bradley Thomas Wagner at 611 Sherman Ave E, Fort Atkinson, Wisconsin or can call to book an appointment on 920-568-5000.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.