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

Nicholas Van Wagoner

Individual provider Infectious Disease Physician · NPI 1891816690

Nicholas Van Wagoner is an Infectious Disease in Birmingham, Alabama. Graduated from University of Alabama School of Medicine in 2004, 22 years ago. Practices with University of Alabama at Birmingham, a 94-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
22
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2007
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Practice location Address checks out

1717 6th Ave S
Birmingham, AL 35233-1801
Phone: (800) 822-8816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 619 19th St S, Birmingham, AL 35233-1900 — (205) 934-5191

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 27161 (AL)

Record details

NPI number1891816690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESJune 28, 2023
Mailing address1717 6th Ave S, Birmingham, AL 35233-1801

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice University Of Alabama At Birmingham — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Birmingham