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

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: July 26, 2026.

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
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

Accepted 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 with the weekly NPPES data releases published by CMS.