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

Individual provider Internal Medicine Physician · NPI 1255331914

Dr. Brian S Waggoner, MD is an Internal Medicine in Cookeville, Tennessee. Graduated from Washington University School of Medicine in 1994, 32 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
32
Trained at
Washington University School of Medicine
Licensed in
TN
In the registry since
2005
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

428 N Willow Ave
Cookeville, TN 38501-2339
Phone: (931) 854-9988
Fax: (931) 854-9977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD27530 (TN)

Record details

NPI number1255331914
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 26, 2005
Last updated in NPPESJuly 14, 2016
Mailing address428 N Willow Ave, Cookeville, TN 38501-2339

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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