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

Brian J Wagner, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1477633931

Brian J Wagner, MD practises Obstetrics/Gynecology in New York, New York. Graduated from University of North Dakota School of Medicine in 2000, 26 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Trained at
University of North Dakota School of Medicine
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1176 Fifith Avenue E Level
New York, NY 10029-6501 Not confirmed with CMS for 14 years — call before visiting
Phone: (212) 659-8557
Fax: (212) 369-2385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 225630 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 225630 (NY)

Record details

NPI number1477633931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESMarch 22, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Optum Medical Care PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1018 clinicians in the practice; 12 are shown here.

Other providers in New York