Individual provider · Type 1 NPI

Bradford S. Wagner, MD

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

NPI number 1083848030 Active

Practice location

50 Foden Rd Ste 3
South Portland, ME 04106-1718

Call (207) 874-1489 Map

Fax (207) 523-8590

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	MD19486 (ME)
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	MD19486 (ME)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1083848030

Bradford S. Wagner, MD's National Provider Identifier is 1083848030, issued on May 6, 2009. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in South Portland, ME. The record was last updated on Mar 3, 2026.