MR. BRUCE ROBERT WAGNER (NPI# 1164689683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164689683 |
| Entity Type | Individual |
| Full Name | MR. BRUCE ROBERT WAGNER |
| Credential | CCC AUDIOLOGY |
| Practice Address |
218 West Market St Suite 7 Charlottesville VA 22902-5027 |
| Practice Telephone | 4342937368 |
| Practice Fax Number | 4342935752 |
| Mailing Telephone | 4342937368 |
| Mailing Fax Number | 4342935752 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2201000223 | VA | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 2101000261 | VA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215351697 | Bruce Wagner | Physician Assistant | 1410 Canal Point Rd, Longwood, FL 32750-4562 | 2014-02-06 |
| 1053434035 | Bruce Wagner | Optometrist | 24040 Camino Del Avion Ste E, Monarch Beach, CA 92629-4005 | 2007-04-06 |
| 1770028268 | Bruce Richard Wagner | Counselor | 5100 Sw Macadam Ave Ste 400, Portland, OR 97239-3854 | 2016-12-20 |
| 1982704698 | Bruce Dewayne Wagner | Physician Assistant | 600 S 70th St, 431 Redwood Drive, Lincoln, NE 68510-2451 | 2006-09-23 |
| Street Address |
218 WEST MARKET ST SUITE 7 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568831972 | Brittany Nicole Viniarski | Audiologist | 3315 Berkmar Dr Ste 2b, Charlottesville, VA 22901-1889 | 2015-09-16 |
| 1922264167 | Jennifer Berman Cassell | Audiologist | 1160 Pepsi Pl, Charlottesville, VA 22901-0807 | 2008-08-06 |
| 1093976631 | Linda Jean Swinson | Audiologist | 218 W Market Street, Suite 7, Charlottesville, VA 22902-5027 | 2008-06-17 |
| 1790817138 | Amber Gardner Kiser | Audiologist | 415 Ray C Hunt Dr Ste 1200, Charlottesville, VA 22903-2980 | 2007-03-12 |
| 1740312180 | Margaret B. Mcbride | Audiologist | Uva Ent Clinic At Fontaine, 415 Ray C. Hunt Drive, Charlottesville, VA 22903 | 2007-03-12 |
| 1275682304 | Kristin Rachel Koch | Audiologist | 2297 Seminole Ln, Charlottesville, VA 22901-8300 | 2007-01-09 |
| 1215093083 | Kar-leung Cheung | Audiologist | 415 Ray C. Hunt Drive, Suite 1200, Uva Ent At Fontaine, Charlottesville, VA 22903 | 2006-12-28 |
| 1679506042 | Marian S Fredner | Audiologist | 3315 Berkmar Dr, Suite 2b, Charlottesville, VA 22901-1491 | 2006-07-09 |
| 1922053313 | Laura Jean Istwany | Audiologist | 590 Peter Jefferson Pkwy Ste 250, Charlottesville, VA 22911 | 2006-05-23 |
| 1992770051 | Rector & Visitors of The University of Virginia | Audiologist | 417 Emmet Street South, Charlottesville, VA 22904-4270 | 2006-02-22 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.