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BADGER CARE LLC
NPI 1417498718
Family Medicine in Deforest, WI

Active since March 20, 2017CLIA 52D2121908 · Waiver
210 N MAIN ST, DEFOREST, WI 53532(608) 842-2660 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2022, Mar 20, 2017 (2 updates tracked since 2017).

About Badger Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BADGER CARE LLC (NPI 1417498718) is a healthcare organization registered as a family medicine in Deforest, Wisconsin and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Salam Syed, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417498718
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBADGER CARE LLC
Location Address210 N MAIN STDeforest, WI 53532-1163
Mailing Address210 N Main St Ste 103Deforest, WI 53532-1163 · (608) 842-2660
Phone(608) 842-2660
Organization SubpartYes
Authorized OfficialSalam SyedMedical Director · (608) 842-2660
Enumeration DateMarch 20, 2017
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1417498718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 53833
Definition
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.
210 N MAIN ST, Deforest, WI 53532
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Other Identifiers 2

Other1669666731WI · Individual Npi
Medicaid1669666731WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2121908

Badger Care Clinic · De Forest, WI
Active · expires Nov 15, 2026
CLIA Number52D2121908
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDr. Salam U. Syed
Laboratory Phone(608) 842-2660
Laboratory LocationBadger Care Clinic210 N Main St Ste 102, De Forest, WI 53532
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEGAN BLOUNT DC
Chiropractor
210 N MAIN ST, SUITE 102
DE FOREST, WI 53532
Dane County (608) 846-2454
DR. ZACHARY SCOTT MCCALLUM D.D.S.
Dentist
210 N MAIN ST
DE FOREST, WI 53532
Dane County (608) 846-3948
DR. GERALD ROGER CORCORAN DDS
Dentist
210 N MAIN ST, SUITE 103
DE FOREST, WI 53532
Dane County (608) 846-3948

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Badger Care LLC's NPI number?

The NPI number for Badger Care LLC is 1417498718. It was assigned to this organization in the NPPES registry on March 20, 2017.

Where is Badger Care LLC located?

Badger Care LLC is located at 210 N Main St, Deforest, WI 53532. The listed phone number is (608) 842-2660.

What is Badger Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Badger Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2121908) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Badger Care LLC was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.