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

Dr. Jess Bruce Wagner, MD

Individual provider Family Medicine Physician · NPI 1942301593

Dr. Jess Bruce Wagner, MD is a Family Medicine Physician in Port Royal, South Carolina. Works from 2 locations. Licensed in Florida and South Carolina.

Licensed in
FL, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1320 Ribaut Rd
Port Royal, SC 29935-1118
Phone: (843) 986-0900
Show map & directions

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

Additional practice locations (1)

  • 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 — (850) 883-8600

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME125237 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 28789 (SC)

Record details

NPI number1942301593
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address719 Okatie Hwy # 170, Okatie, SC 29909-3963

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