Grant Nelson Badger, MD
Psychiatry & Neurology, Neurology in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1770416273
StatusActive
Last updated in NPPESOct 14, 2026
Details
- NPI
- 1770416273
- Entity type
- Individual (NPI-1)
- Name
- Grant Nelson Badger
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2026
- Certification date
- Oct 14, 2026
- Last updated
- Oct 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | MT237901 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | MT237901 | PA |
Practice location
1000 E Mountain BlvdWilkes Barre, PA 18711-0001
Phone 570-808-3200
Mailing address
1000 E Mountain BlvdWilkes Barre, PA 18711-0001
Phone 570-808-6845 · Fax 570-808-5967
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