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

Dr. David Dale Wageman, DO

Individual provider Emergency Medicine Physician · NPI 1528108867

Dr. David Dale Wageman, DO is an Emergency Medicine in Rupert, Idaho. Qualified in 2022, 4 years ago. Practices with Emergency Physicians of the Rockies, PC, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Michigan.

Years since qualifying
4
Licensed in
ID, MI
In the registry since
2007
Specialties on file
3
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.

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Practice location Address checks out

1224 8th St
Rupert, ID 83350-1599
Phone: (208) 436-0481
Show map & directions

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

Additional practice locations (1)

  • 1 Ford Pl # 2e, Detroit, MI 48202-3450 — (313) 874-4690

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence O-0753 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5101015277 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5101015277 (MI)

Record details

NPI number1528108867
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergency Physicians Of The Rockies, Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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