Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Benjamin J Wagner, DO

Emergency Medicine Physician in Carbondale, IL · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497047567

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Registry record

Entity type Individual (Type 1)

Name Dr. Benjamin J Wagner

Credential DO

Sex Male

Practice address 405 W Jackson St, Carbondale, IL, 62901

Phone (618) 549-0721

Fax (618) 457-0469

Enumeration date May 9, 2011

Last updated in NPPES Feb 11, 2021

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License OS016686 (PA) Secondary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 036140784 (IL) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
036140784	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Benjamin Wagner practice?

The practice location on file with NPPES is in Carbondale, IL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Benjamin Wagner?

The National Provider Identifier (NPI) for Benjamin Wagner is 1497047567, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-11.