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

Michael Geoffrey Wagner, DO

Individual provider Internal Medicine Physician · NPI 1174145569

Michael Geoffrey Wagner, DO is an Internal Medicine in Bridgeport, Connecticut. Graduated from Liberty Univ College of Osteopathic Medicine in 2020, 6 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Trained at
Liberty Univ College of Osteopathic Medicine
Licensed in
CT
In the registry since
2020
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

2800 Main St
Bridgeport, CT 06606-4201
Phone: (475) 210-5718
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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 74026 (CT)

Record details

NPI number1174145569
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 8, 2020
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023
Mailing address2800 Main St, Bridgeport, CT 06606-4201

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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