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Gregory Wagoner, M.D.
NPI 1700965324 · Internal Medicine Physician · Boston, MA
Gregory Wagoner, M.D. is a Internal Medicine Physician provider in Boston, MA (NPI 1700965324).
Provider details
- NPI number
- 1700965324
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 38544 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
729 Massachusetts Ave
Boston, MA 02118-2318
Phone: (617) 414-7779
Fax: (617) 414-7776
Street-level locationGet directions
Mailing address
119 Commonwealth Ave
Chestnut Hill, MA 02467-1004
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gregory Wagoner's NPI number?
- Gregory Wagoner's National Provider Identifier (NPI) is 1700965324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gregory Wagoner's specialty?
- Gregory Wagoner is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gregory Wagoner located?
- Gregory Wagoner's practice location on file with NPPES is 729 Massachusetts Ave, Boston, MA 02118-2318.
- What is Gregory Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Gregory Wagoner is (617) 414-7779.
- Is Gregory Wagoner's NPI active?
- Yes — Gregory Wagoner's NPI (1700965324) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.