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BRYAN KOUDIM PTA
NPI 1821540618
Specialist/Technologist, Other in Milwaukee, WI

Active since October 27, 2016
9047 W GREENFIELD AVE, MILWAUKEE, WI 53214(414) 453-9290 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan Koudim Pta NPPES

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

BRYAN KOUDIM PTA (NPI 1821540618) is an individual specialist/technologist, other provider in Milwaukee, Wisconsin, licensed in Wisconsin (254819) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1821540618
Entity TypeIndividualMale
Primary Taxonomy246Z00000X
Provider Legal NameBRYAN KOUDIMCredential: PTA
Location Address9047 W GREENFIELD AVEMilwaukee, WI 53214-2808
Mailing AddressS78w18465 Lions Park DrMuskego, WI 53150-8704 · (262) 309-1253
Phone(414) 453-9290
Sole ProprietorNo
Enumeration DateOctober 27, 2016
✔ NPI 1821540618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
License✔ Licensed in WI · 254819
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
9047 W GREENFIELD AVE, Milwaukee, WI 53214
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY PHILIP VANBOGAERT
Physical Therapy Assistant
9047 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 607-0910
WEST ALLIS NURSING & REHABILITATION CENTER, LLC
Skilled Nursing Facility
9047 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 453-9290
ALEXANDRIA MIA HAGEN CF-SLP
Student in an Organized Health Care Education/Training Program
9047 W GREENFIELD AVE
MILWAUKEE, WI 53214
Milwaukee County (414) 453-9290
JARED STORY
Physical Therapy Assistant
9047 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 453-9290
MR. JOEL DAVID BAUMAN
Occupational Therapy Assistant
9047 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 453-9290
JOSEPH MICHAEL LIDESTER P.T.A.
Physical Therapy Assistant
9047 W GREENFIELD AVE
MILWAUKEE, WI 53214
Milwaukee County (414) 453-9290
KELLY BRITTON
Speech-Language Pathologist
9047 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 453-9290
LEXINGTON HEALTHCARE LLC
Skilled Nursing Facility
9047 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 453-9290

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 Bryan Koudim's NPI number?

The NPI number for Bryan Koudim is 1821540618. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Bryan Koudim located?

Bryan Koudim practices at 9047 W Greenfield Ave, Milwaukee, WI 53214. The listed phone number is (414) 453-9290.

What is Bryan Koudim's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Bryan Koudim was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.