Provider Demographics
NPI:1265470405
Name:BADMAN, JAMES W (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:BADMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:631 PALM SPRINGS DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7854
Mailing Address - Country:US
Mailing Address - Phone:407-331-1121
Mailing Address - Fax:407-331-1156
Practice Address - Street 1:631 PALM SPRINGS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7854
Practice Address - Country:US
Practice Address - Phone:407-331-1121
Practice Address - Fax:407-331-1156
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME69349207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL28890OtherBCBS
FL28890OtherBCBS
G64322Medicare UPIN