Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nicholas Van Wagoner

Individual provider Infectious Disease Physician · NPI 1891816690

Nicholas Van Wagoner is registered under 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

Practice location Address checks out

1717 6th Ave S
Birmingham, AL 35233-1801
Phone: (800) 822-8816
Show map & directions

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients62
Services billed 206 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at University of Alabama at Birmingham

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 94 clinicians in the practice; 12 are shown here.

Other providers in Birmingham