Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wedgewood Legacy Medical PC

Organization Internal Medicine Physician · NPI 1053347187

Wedgewood Legacy Medical PC is an Internal Medicine Physician in Lincoln, Nebraska. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8055 O St Ste S-109
Lincoln, NE 68510-2564
Phone: (402) 489-8821
Fax: (402) 489-0733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1053347187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Fosnaugh — Md · (402) 489-0334
NPI enumeratedJune 23, 2006
Last updated in NPPESMay 15, 2012
Mailing address8055 O St, Ste S-109, Lincoln, NE 68510-2564

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