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DR. DAVID BRYAN WAGGONNER M.D. NPI 1164600342


NPI Information

NPI: 1164600342
Provider Name: DR. DAVID BRYAN WAGGONNER, M.D.
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Individual

Specialization: Female Pelvic Medicine and Reconstructive Surgery

PECOS Registration: Yes

Address:
6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN
ZIP 55426
Phone: (952) 993-3282
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DR. David Bryan Waggonner, M.D. is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Saint Louis Park, MN with 18 years of experience. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. David Bryan Waggonner, M.D. NPI is 1164600342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN
ZIP 55426-702
Phone: (952) 993-3282

The NPI 1164600342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of temporary bladder catheter (HCPCS:51701)
  • Urinalysis, manual test (HCPCS:81002)
  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)

The enumeration date for this NPI number is 2/10/2008 and was last updated on 12/28/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery56763MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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