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

Dr. Brian Leo Waggoner, MD

Individual provider Pediatrics Physician · NPI 1679544548

Dr. Brian Leo Waggoner, MD is a Pediatrics Physician in Clive, Iowa. Licensed in Iowa. Registered with an NPI since 2006.

Licensed in
IA
In the registry since
2006
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

2555 Berkshire Pkwy Ste A
Clive, IA 50325-4646
Phone: (515) 987-0051
Fax: (515) 987-0054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 28129 (IA)

Record details

NPI number1679544548
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESDecember 23, 2016

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