BAHRAM BADRI (NPI# 1013399419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013399419 |
| Entity Type | Individual |
| Full Name | BAHRAM BADRI |
| Practice Address |
310 W Main St Sparta WI 54656 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 6082622132 |
| Mailing Telephone | 7158383635 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 68620 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5001 Silver Hill Rd, Suitland, MD 207465215 | 2405325139 |
| Street Address |
310 W MAIN ST |
| City | SPARTA |
| State | WI |
| Zip Code | 54656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961978 | James H Piper | Nurse Anesthetist, Certified Registered | 310 W Main St, Sparta, WI 54656-2170 | 2005-06-13 |
| 1003398488 | Ariel Dawn Ferdock | Pharmacist | 310 W Main St, Sparta, WI 54656 | 2018-09-03 |
| 1750898680 | Heidi Marie Stenerson | Nurse Practitioner | 310 W Main St, Sparta, WI 54656-2170 | 2017-12-30 |
| 1992243984 | Alex Grunenwald | Emergency Medicine | 310 W Main St, Sparta, WI 54656-2170 | 2017-02-09 |
| 1801343066 | Laura Kathryn Mitchell | Nurse Practitioner | 310 W Main St, Sparta, WI 54656-2170 | 2016-09-06 |
| 1760852719 | Denise Weber | Social Worker | 310 W Main St, Sparta, WI 54656-2170 | 2015-10-03 |
| 1871963462 | Anna Klusendorf | Physical Therapist | 310 W Main St, Sparta, WI 54656 | 2015-09-25 |
| 1902104102 | Katarzyna Luce | Physical Therapist | 310 W Main St, Sparta, WI 54656 | 2011-03-11 |
| 1487989125 | Derrick L Woodward | Family Medicine | 310 W Main St, Sparta, WI 54656 | 2009-10-14 |
| 1275777575 | Jacob D. Peloquin | Occupational Therapist | 310 W Main St, Sparta, WI 54656-2170 | 2009-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929279 | Jennifer Johnson | Physical Therapy Assistant | 14345 County Hwy B, Sparta, WI 54656 | 2016-09-01 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1801223003 | Emily M Nolte | Counselor | 112 S Court St. Room 3000, Sparta, WI 54656 | 2013-10-02 |
| 1518254945 | Therapeutic Home Services | Point of Service | 9484 Festival Avenue, Sparta, WI 54656 | 2011-07-06 |
| 1639488273 | Rebecca Ann Frey | Reflexologist | 5680 Canary Ave, Sparta, WI 54656 | 2010-09-30 |
| 1316276660 | Gary J Korthals | Pharmacist | 201 S. Water St, Sparta, WI 54656 | 2009-12-16 |
| 1689847329 | Donald N. La Force | Hearing Instrument Specialist | 117 West Oak St, Sparta, WI 54656 | 2008-04-02 |
| 1164400503 | Alice M Bachop | Nurse Practitioner | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| 1578540894 | Marc D Tumerman | Family Medicine | 310 West Main St, Sparta, WI 54656 | 2005-12-28 |
| 1972001881 | Carmen Alyssa Adams | Physician Assistant | 1111 W Wisconsin St, Sparta, WI 54656 | 2018-01-25 |
| Find all providers in zip 54656 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750612503 | Carl Setford Schlageter | Family Medicine | 612 E Broadway St, Sparta, IL 62286-1818 | 2010-01-19 |
| 1154589091 | Velentino Vincent Sica | Family Medicine | 41 Balsam Parkway, Sparta, NJ 07871-2004 | 2008-05-28 |
| 1225258080 | New River Family Medicine | Family Medicine | 12 Willis St, Suite C, Sparta, NC 28675-9220 | 2007-04-26 |
| 1134291883 | Robert Francis Baker Jr. | Family Medicine | 207 E Bockman Way, Sparta, TN 38583-2041 | 2006-11-15 |
| 1215022207 | Share Ministry Inc | Family Medicine | 393 N Main Street, Sparta, NC 28675 | 2006-10-04 |
| 1427163146 | Georgia Latham | Family Medicine | 393 N Main St, Sparta, NC 28675-8896 | 2006-08-20 |
| 1063425650 | Paul Boyd Glynn | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2006-08-14 |
| 1659311702 | Chad A Griffin | Family Medicine | 433 Sewell Dr, Sparta, TN 38583-1223 | 2006-06-07 |
| 1548227606 | Russell Coulter | Family Medicine | Family Health Centre, 207 South Burns Ave, Sparta, IL 62286 | 2006-05-01 |
| 1114984283 | Elvira Salarda | Family Medicine | Sparta Medical Office, 215 South Burns, Sparta, IL 62286 | 2006-05-01 |
| Find all providers in SPARTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.