BADGER CARE LLC NPI 1417498718

NPI Information

  • NPI: 1417498718
  • Provider Name: BADGER CARE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 52D2121908
  • Address: 210 N MAIN ST
    DEFOREST, WI
    ZIP 53532
  • Phone: (608) 842-2660

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NPI Details

BADGER CARE LLC is a family medicine in Deforest, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BADGER CARE LLC NPI is 1417498718. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 N MAIN ST
DEFOREST, WI
ZIP 53532-163
Phone: (608) 842-2660

The provider's authorized official is Salam Syed .
The authorized official title is Medical Director and has the following contact phone number (608) 842-2660.

The CLIA number assigned to this NPI record is 52D2121908 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 9/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine53833WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11669666731OTHERWISCONSININDIVIDUAL NPI
21669666731MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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