NPI age
19 years
Enumerated 2006-06-15
● Active
Type 1 · Individual
Russell Wagner, MD
Wagner is 1 of 83 orthopaedic surgery providers in Fort Worth and 1 of 2473 in Texas.
Primary specialty
Orthopaedic Surgery
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2473 active orthopaedic surgery providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
1500 S Main St
Fort Worth, TX 761044917
Mailing address
Po Box 99335
Fort Worth, TX 761990335
Additional practice locations
1 secondary location on file with NPPES.
Location 2
855 Montgomery St
Fort Worth, TX 761072553
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
-
Orthopaedic SurgeryRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee),...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8U1280 | BCBS |
| 01 (TX) | P00249664 | RAILROAD MEDICARE PIN |
| 05 (TX) | 123495705 |
Practice context
Part of a multi-provider practice. 958 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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