Bradford S. Wagner, MD Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · South Portland, ME

NPI

1083848030

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

MD19486 (ME)

Sex

Male

Sole proprietor

No

Enumerated

2009-05-06

Last updated

2026-03-03