Bruce Robert Wagner, CCC AUDIOLOGY
NPI 1164689683ActiveIndividual· Audiologist· Charlottesville, VA
Audiologist (CCC AUDIOLOGY) in Charlottesville, Virginia, licensed in VA, with an NPI issued in May 2008.
Overview
| NPI | 1164689683 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC AUDIOLOGY |
| Sole proprietor | No |
| NPI issued | May 21, 2008 |
| Last updated in NPPES | May 21, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 2201000223 | VA |
| Audiologist-Hearing Aid Fitter | 237600000X | 2101000261 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Audiologist providers in Charlottesville
- 1588279921
- 1720629264
- 1659441608
- 1174598866
- 1093374969
- 1922264167
- 1619764859
- 1497889562
- 1184951287
- 1962536037
- 1407369457
- 1679506042