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

Russell Wagner, MD

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1154365013

Russell Wagner, MD is an Adult Reconstructive Orthopaedic Surgery Physician in Fort Worth, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-7144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 855 Montgomery St, Fort Worth, TX 76107-2553 — (817) 735-2900

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence H4772 (TX)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence H4772 (TX)

Record details

NPI number1154365013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing addressPo Box 99335, Fort Worth, TX 76199-0335

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