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

David Russell Wagner, MD

Individual provider Anesthesiology Physician · NPI 1811129547

David Russell Wagner, MD is an Anesthesiology in Bronx, New York. Qualified in 2009, 17 years ago. Practices with Champlain Valley Physicians Hospital Medical Center, a 352-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

234 E 149th St
Bronx, NY 10451-5504
Phone: (718) 579-5717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 270163 (NY)

Record details

NPI number1811129547
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 13, 2009
Last updated in NPPESFebruary 3, 2017
Mailing address253 W 72nd St Apt 1703, New York, NY 10023-2709

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Champlain Valley Physicians Hospital Medical Center — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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