Brian S Waggoner (NPI# 1255331914, PAC ID# 5092619841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255331914 |
| PAC ID by PECOS | 5092619841 |
| Professional Enrollment ID | I20031122000018 |
| Full Name | Brian S Waggoner |
| Address |
428 N Willow Ave Cookeville TN 38501-2339 |
| Phone Number | 9318549988 |
| Gender | M |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440059 | COOKEVILLE REGIONAL MEDICAL CENTER |
| 440187 | LIVINGSTON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 428 N Willow Ave, Cookeville, TN 38501-2339 | 9318549988 |
| Street Address |
428 N WILLOW AVE |
| City | COOKEVILLE |
| State | TN |
| Zip | 38501-2339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn T Webb | Psychiatry | Ten Broeck Tennessee Physicians | 1 Medical Ctr Blvd 5, Cookeville, TN 38501 |
| Ronald S Miranda | Optometry | Dr. Mark Lynn and Associates, Pllc | 377 W Kaclspm, D1, Cookeville, TN 38501 |
| Ralph Saunders | Orthopedic Surgery | Saint Thomas Medical Partners | 120 Walnut Commons Lane, Suite C, Cookeville, TN 38501 |
| Melynie M Cagle | Nurse Practitioner | Ten Broeck Tennessee Physicians | 1 Medical Ctr Blvd 5, Cookeville, TN 38501 |
| Carolyn A Ross | Family Medicine | Saint Thomas Medical Partners | 120 Walnut Commons Lane, Suite C, Cookeville, TN 38501 |
| Carey M Reed | Nurse Practitioner | Ten Broeck Tennessee Physicians | 1 Medical Ctr Blvd 5, Cookeville, TN 38501 |
| Kalyani M Kumar | Obstetrics/gynecology | Saint Thomas Medical Partners | 120 Walnut Commons Lane, Suite C, Cookeville, TN 38501 |
| Leroy V Bilbrey | Psychologist, Clinical | 225 N Willow Ave, Cookeville, TN 38501-0225 | |
| Tracy Harrison Epps | Nurse Practitioner | 1101 Primary Care, Pllc | 1101 Neal St, Cookeville, TN 38501-0901 |
| Ernest G Buchanan Iv | Family Medicine | 1101 Neal St, Cookeville, TN 38501-0901 | |
| Find all physicians in zip 38501 | |||
| City | COOKEVILLE |
| Zip Code | 38501 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COOKEVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Brian 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.