DR. WISAM HASSAN ALI AL BADR M.D.
NPI 1710177480
General Acute Care Hospital - Critical Access in Saint Louis, MO

Q: What is Wisam Al Badr's NPI number?

The NPI number for Wisam Al Badr is 1710177480. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Q: What is Wisam Al Badr's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Q: When was this NPI record last updated?

The NPPES record for Wisam Al Badr was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 30, 2007

3635 GRAND BLVD, SAINT LOUIS, MO 63110(314) 577-8765(314) 771-0784 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Wisam Hassan Ali Al Badr M.d. NPPES

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

DR. WISAM HASSAN ALI AL BADR M.D. (NPI 1710177480) is an individual critical access provider in Saint Louis, Missouri, licensed in Missouri (2007008384) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1710177480

Entity TypeIndividualFemale

Primary Taxonomy282NC0060X

Provider Legal NameDR. WISAM HASSAN ALI AL BADRCredential: M.D.

Location Address3635 GRAND BLVDSaint Louis, MO 63110-2539

Mailing Address9625 Chancelorsville DrSaint Louis, MO 63126-3312 · (314) 577-8765 · Fax (314) 771-0784

Phone(314) 577-8765

Fax(314) 771-0784

Sole ProprietorYes

Enumeration DateJuly 30, 2007

✔ NPI 1710177480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals

Taxonomy Code282NC0060X

License✔ Licensed in MO · 2007008384

3635 GRAND BLVD, Saint Louis, MO 63110

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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 Wisam Al Badr's NPI number?

The NPI number for Wisam Al Badr is 1710177480. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Wisam Al Badr located?

Wisam Al Badr practices at 3635 Grand Blvd, Saint Louis, MO 63110. The listed phone number is (314) 577-8765.

What is Wisam Al Badr's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

When was this NPI record last updated?

The NPPES record for Wisam Al Badr was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.