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

Dr. Brian Keith Wagner, DPM

Individual provider Podiatrist · NPI 1093743502

Dr. Brian Keith Wagner, DPM is a Podiatry in Farmington, Connecticut. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
23
Licensed in
CT
In the registry since
2006
Specialties on file
4
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11 S Rd Lowr LEVEL20
Farmington, CT 06032-2483
Phone: (860) 470-5703
Fax: (860) 606-8025
Show map & directions

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

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence 000793 (CT)
Podiatrist Taxonomy 213E00000X · Licence 000793 (CT)
Radiology Podiatrist Taxonomy 213ER0200X · Licence 000793 (CT)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 000862 (CT)

Record details

NPI number1093743502
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020
Mailing address11 South Road, Lower Level 20, Farmington, CT 06032

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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