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

David Russell Wagner, MD

Individual provider Anesthesiology Physician · NPI 1811129547

David Russell Wagner, MD is an Anesthesiology in Bronx, New York. Qualified in 2009, 17 years ago. Practices with Champlain Valley Physicians Hospital Medical Center, a 352-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
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

234 E 149th St
Bronx, NY 10451-5504
Phone: (718) 579-5717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 270163 (NY)

Record details

NPI number1811129547
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 13, 2009
Last updated in NPPESFebruary 3, 2017

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Champlain Valley Physicians Hospital Medical Center — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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