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

Gregory Van Wagner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255838959

Gregory Van Wagner is an Emergency Medicine in Philadelphia, Pennsylvania. Graduated from University of South Alabama College of Medicine in 2018, 8 years ago. Practices with Trinity Emergency Physicians, LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
8
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD.4237 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255838959
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Trinity Emergency Physicians, Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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