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

Dr. Philip Jon Wagner, DC

Individual provider Internist Chiropractor · NPI 1043296171

Dr. Philip Jon Wagner, DC is a Chiropractic in Beaufort, South Carolina. Qualified in 1989, 37 years ago. Practices with Life University, Inc, a 14-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
37
Licensed in
SC
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

1 Pinckney Blvd Naval Hospital Beaufort Attn Professional Affairs
Beaufort, SC 29902-6122
Phone: (843) 228-5577
Fax: (843) 228-5196
Show map & directions

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

Specialties & licences

Internist Chiropractor (primary) Taxonomy 111NI0900X · Licence 1633 (SC)

Record details

NPI number1043296171
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESJuly 8, 2007
Mailing address1 Pinckney Blvd, Naval Hospital Beaufort Attn Professional Affairs, Beaufort, SC 29902-6122

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Life University, Inc. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount