DIMITRIOS P BOUSOUNIS MD
NPI 1073666269
Clinic/Center - Medical Specialty in Glendale, WI

Q: What is Dimitrios P Bousounis MD's NPI number?

The NPI number for Dimitrios P Bousounis MD is 1073666269. It was assigned to this organization in the NPPES registry on January 19, 2007.

Q: What is Dimitrios P Bousounis MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since January 19, 2007

200 W SILVER SPRING DR STE 255, GLENDALE, WI 53217(414) 964-8450(414) 964-8451 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dimitrios P Bousounis Md NPPES

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

DIMITRIOS P BOUSOUNIS MD (NPI 1073666269) is a healthcare organization registered as a medical specialty in Glendale, Wisconsin and active in the NPI registry since January 2007. The organization lists Dimitrios P Bousounis, Owner, as its authorized official.

NPPES Registry Identity

NPI1073666269

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameDIMITRIOS P BOUSOUNIS MD

Location Address200 W SILVER SPRING DR STE 255Glendale, WI 53217-5058

Mailing Address200 W Silver Spring Dr Ste 255Glendale, WI 53217-5058 · (414) 964-8450 · Fax (414) 964-8451

Phone(414) 964-8450

Fax(414) 964-8451

Organization SubpartNo

Authorized OfficialDimitrios P BousounisOwner · (414) 964-8450

Enumeration DateJanuary 19, 2007

Last NPPES UpdateApril 24, 2008

✔ NPI 1073666269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in WI · 27172

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

200 W SILVER SPRING DR STE 255, Glendale, WI 53217

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Dimitrios P Bousounis MD's NPI number?

The NPI number for Dimitrios P Bousounis MD is 1073666269. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Dimitrios P Bousounis MD located?

Dimitrios P Bousounis MD is located at 200 W Silver Spring Dr Ste 255, Glendale, WI 53217. The listed phone number is (414) 964-8450.

What is Dimitrios P Bousounis MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does Dimitrios P Bousounis MD accept?

Health plans from Anthem Blue Cross and Blue Shield list Dimitrios P Bousounis MD as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dimitrios P Bousounis MD was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.