IndividualActive
Brice Wagner, PA-C
NPI 1568037232 · Medical Physician Assistant · Covington, LA
Provider details
- NPI number
- 1568037232
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Mailing address
20 Starbrush Cir
Covington, LA 70433-7208
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.