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

Dr. Brian Leo Waggoner, MD

Individual provider Pediatrics Physician · NPI 1679544548

Dr. Brian Leo Waggoner, MD is a Pediatrics Physician in Clive, Iowa. Licensed in Iowa. Registered with an NPI since 2006.

Licensed in
IA
In the registry since
2006
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

2555 Berkshire Pkwy Ste A
Clive, IA 50325-4646
Phone: (515) 987-0051
Fax: (515) 987-0054
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 28129 (IA)

Record details

NPI number1679544548
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESDecember 23, 2016
Mailing address2555 Berkshire Pkwy Ste A, Clive, IA 50325-4646

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