Brianne C Waggoner Do PC
Brianne C Waggoner Do PC is a healthcare organization registered as Emergency Medicine Physician in Mount Clemens, MI, holding Type 2 (organization) NPI 1083059562 since 2013. The authorized official on file is Brianne Waggoner, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083059562 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brianne C Waggoner Do PC |
| Practice address | 1000 HARRINGTON ST, Mount Clemens, MI, 48043 |
| Phone | 5864938000 |
| Enumeration date | 2013-05-09 |
| Last updated in NPPES | 2013-05-09 |
Authorized official
| Name | Brianne Waggoner |
|---|---|
| Title | Owner |
| Phone | 5179279287 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Primary | 5101017372 | MI |
Copy-ready billing details
Provider: Brianne C Waggoner Do PC NPI: 1083059562 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 1000 HARRINGTON ST, Mount Clemens, MI, 48043
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255258554 | Furqaan Zakir | Individual | Internal Medicine Physician | Mount Clemens, MI |
| 1316938327 | Mclaren Macomb | Organization | General Acute Care Hospital | Mount Clemens, MI |
| 1174501506 | Kathleen King | Individual | Nurse Practitioner | Mount Clemens, MI |
| 1770542797 | Christine Dickinson | Individual | Diagnostic Radiology Physician | Mount Clemens, MI |
| 1891757522 | Richard Walton | Individual | Diagnostic Radiology Physician | Mount Clemens, MI |
| 1083661375 | Lyndon Graham | Individual | Certified Registered Nurse Anesthetist | Mount Clemens, MI |
| 1740223825 | Christopher Stoddard | Individual | Diagnostic Radiology Physician | Mount Clemens, MI |
| 1528002532 | Mclaren Macomb | Organization | Certified Registered Nurse Anesthetist | Mount Clemens, MI |
Verify this record
Cross-check NPI 1083059562 against the authoritative CMS record: view Brianne C Waggoner Do PC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Brianne C Waggoner Do PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-05-09.