OrganizationActive
Brianne C Waggoner DO PC
NPI 1083059562 · Emergency Medicine Physician · Mount Clemens, MI
Provider details
- NPI number
- 1083059562
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brianne Waggoner, Owner(517) 927-9287
- License
- 5101017372 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone: (586) 493-8000
Approximate (ZIP-level) locationGet directions
Mailing address
9301 S Western Ave
Oklahoma City, OK 73139-2767
Registry dates
- Enumerated
- 2013-05-09
- Last updated
- 2013-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.