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

Daniel B. Wagner, DO

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1750348314

Daniel B. Wagner, DO is an Orthopedic Surgery in Fort Worth, Texas. Graduated from Kansas City University of Physicians and Surgeons in 1995, 31 years ago. Practices with Michael H Boothby, MD, PA, a 12-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
31
Trained at
Kansas City University of Physicians and Surgeons
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2901 Acme Brick Plz
Fort Worth, TX 76109-4124
Phone: (817) 529-1900
Fax: (817) 529-1910
Show map & directions

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

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence M6450 (TX)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence M6450 (TX)

Record details

NPI number1750348314
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address2901 Acme Brick Plz, Fort Worth, TX 76109-4124

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolKANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated 1995 (31 years in practice)
Group practice Michael H Boothby, Md, Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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