Bradley S Waggoner (NPI# 1295833796, PAC ID# 2769433101) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1295833796 |
| PAC ID by PECOS | 2769433101 |
| Professional Enrollment ID | I20050203000101 |
| Full Name | Bradley S Waggoner |
| Organization Legal Name | WOODLANDS SURGICAL ASSOCIATES PLLC |
| Address |
18955 N Memorial Dr Suite 250 Humble TX 77338-4263 |
| Phone Number | 2816408373 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7810184645 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450684 | MEMORIAL HERMANN NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 18955 N Memorial Dr, Suite 250, Humble, TX 77338-4263 | 2816408373 | WOODLANDS SURGICAL ASSOCIATES PLLC |
| Organization Legal Name | WOODLANDS SURGICAL ASSOCIATES PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Maggart | General Surgery | Woodlands Surgical Associates Pllc | 18955 N Memorial Dr, Suite 250, Humble, TX 77338-4263 |
| Sayl Hashim Abbas Bunyan | General Surgery | Woodlands Surgical Associates Pllc | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 |
| Saif Hassan | General Surgery | Woodlands Surgical Associates Pllc | 9200 Pinecroft Dr, Suite 255, Shenandoah, TX 77380-3286 |
| Michael David Albers | General Surgery | Woodlands Surgical Associates Pllc | 18955 N Memorial Dr, Suite 250, Humble, TX 77338-4263 |
| Drew David Howard | General Surgery | Woodlands Surgical Associates Pllc | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 |
| Tracy Soledad | General Surgery | Woodlands Surgical Associates Pllc | 18955 N Memorial Dr, Suite 250, Humble, TX 77338-4263 |
| Chelsea Peterson | Physician Assistant | Woodlands Surgical Associates Pllc | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 |
| Meghan Daulton | Nurse Practitioner | Woodlands Surgical Associates Pllc | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 |
| Timothy Michael Hodges | General Surgery | Woodlands Surgical Associates Pllc | 9200 Pinecroft Dr, Suite 255, Shenandoah, TX 77380-3286 |
| Kelli M Wohlgemuth | Nurse Practitioner | Woodlands Surgical Associates Pllc | 9200 Pinecroft Dr, Suite 255, Shenandoah, TX 77380-3286 |
| Street Address |
18955 N MEMORIAL DR SUITE 250 |
| City | HUMBLE |
| State | TX |
| Zip | 77338-4263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Scott Pulaski | Gynecological Oncology | Texas Oncology Pa | 18955 N Memorial Dr, Suite 430, Humble, TX 77338-4264 |
| James R Maggart | General Surgery | Woodlands Surgical Associates Pllc | 18955 N Memorial Dr, Suite 250, Humble, TX 77338-4263 |
| Michael David Albers | General Surgery | Woodlands Surgical Associates Pllc | 18955 N Memorial Dr, Suite 250, Humble, TX 77338-4263 |
| Heinrich G Schettler | Obstetrics/gynecology | 18955 N Memorial Dr, Suite 350, Humble, TX 77338-4396 | |
| Tracy Soledad | General Surgery | Woodlands Surgical Associates Pllc | 18955 N Memorial Dr, Suite 250, Humble, TX 77338-4263 |
| Jonathan Lewis Redmon | General Surgery | 18955 N Memorial Dr, Suite 330, Humble, TX 77338-4263 | |
| Diane Hughes | Obstetrics/gynecology | 18955 N Memorial Dr, Suite 300, Humble, TX 77338-4263 | |
| Mohan Jacob | Cardiovascular Disease (cardiology) | 18955 N Memorial Dr, Suite 440, Humble, TX 77338-4264 | |
| Parendra Banker | Gastroenterology | 18955 N Memorial Dr, Suite 470, Humble, TX 77338-4271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chi K Nguyen | Optometry | 21802 Townsen Blvd W, Humble, TX 77338-1594 | |
| Pratik B Roy | Optometry | 20777 Hwy 59 N, Humble, TX 77338-2209 | |
| Jay S Pravda | Optometry | 20811 Hwy 59 N 300, Humble, TX 77338-2260 | |
| Amy C Parker | Optometry | Vision Source-deerbrook PC | 20119-a Hwy 59 N, Humble, TX 77338-2315 |
| Chukwuemeka Oragwu | Family Medicine | 1207 N Houston Ave, Suite B, Humble, TX 77338-2592 | |
| Frederick Hill | Family Practice | Frederick L Hill Do Professional Corporation | 20713 Aldine Westfield, Humble, TX 77338-3317 |
| Mark R Richardson | Optometry | 3103 Fm 1960, Suite V, Humble, TX 77338-3380 | |
| Simon S Yeung | Optometry | 19623 Eastex Fwy, Humble, TX 77338-3500 | |
| Okezie Okezie | Physical Medicine and Rehabilitation | 9802 Fm 1960 W Bypass Rd, Suite 205, Humble, TX 77338-3510 | |
| Ruchdi Barakat | Nephrology | Ruchdi Barakat, M.d., P.a. | 9810 Fm 1960 Bypass W Rd, Suite 165, Humble, TX 77338-3524 |
| Find all physicians in zip 77338 | |||
| City | HUMBLE |
| Zip Code | 77338 |
| Specialty | GENERAL SURGERY |
| City + Specialty | HUMBLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Bradley S Waggoner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.