=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750205399
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BADGER MOBILITY TRANSPORT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2026
-----------------------------------------------------
Last Update Date | 08/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6808 UNIVERSITY AVE STE 108
-----------------------------------------------------
City | MIDDLETON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53562-2779
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-870-0248
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6808 UNIVERSITY AVE 108 1799
-----------------------------------------------------
City | MIDDLETON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53562-2777
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-870-0248
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/GENERAL MANAGER
-----------------------------------------------------
Name | ABRAHAM BULL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 608-334-3172
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 344600000X
-----------------------------------------------------
Taxonomy Name | Taxi
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------