Bradford S. Wagner, MD
Bradford S. Wagner, MD is a Family Practice in South Portland, Maine. Graduated from University of Massachusetts Medical School in 2009, 17 years ago. Practices with Intermed PA, a 185-clinician group and accepts Medicare assignment. Licensed in Maine.
- Years since qualifying
- 17
- Trained at
- University of Massachusetts Medical School
- Licensed in
- ME
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
50 Foden Rd Ste 3South Portland, ME 04106-1718
Phone: (207) 874-1489
Fax: (207) 523-8590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence MD19486 (ME) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence MD19486 (ME) |
Record details
| NPI number | 1083848030 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 6, 2009 |
| Last updated in NPPES | March 3, 2026 |
| Certification date | March 3, 2026 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Also practises | SPORTS MEDICINE |
| Medical school | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduated | 2009 (17 years in practice) |
| Group practice | Intermed Pa — 185 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in South Portland
-
Megan A Staton, MD
100 Foden Rd E Ste 203, South Portland, ME 04106-2327 · (207) 874-1489
-
Elizabeth M Strawbridge, MD
7 Cloyster Rd, South Portland, ME 04106-5111 · (484) 639-4621
-
Rose Thatcher, MD
100 Foden Rd E Ste 203, South Portland, ME 04106 · (207) 874-4516
-
Christina Hammond Vietor, DO
100 Foden Rd E Ste 203, South Portland, ME 04106-1316 · (207) 874-1489