Bluemound Orthopaedic Group, LTD

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BLUEMOUND ORTHOPAEDIC GROUP, LTD

Practice address

13255 W Bluemound Rd
Suite 103
Brookfield, WI 53005-6245

Phone

(262) 786-2875

Fax

(262) 786-2096

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Richard PhillipsNPI 1538120837

Title

President

Phone

(262) 786-2875

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Richard Phillips, MD

  • Orthopaedic Surgery Physician
  • Brookfield, WI
  • NPI 1538120837
  NPD (past) Authorized official
• Meghan Victoria Klinck, PA-C

  • Physician Assistant
  • Pewaukee, WI
  • NPI 1275594103
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1447477245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13255 W BLUEMOUND RD",
            "address_2": "SUITE 103",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056245",
            "telephone_number": "262-786-2875",
            "fax_number": "262-786-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13255 W BLUEMOUND RD",
            "address_2": "SUITE 103",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056245",
            "telephone_number": "262-786-2875",
            "fax_number": "262-786-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEMOUND ORTHOPAEDIC GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-786-2875",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Bliske, PHD
• Blooming Buds Medicine
• Blooming Pathways Therapy LLC
• Tiana Blue
• Bluemound Health Services SC
• Daniel Peter Bock, DPT
• Bodygenic Physical Therapy LLC
• Jill Marie Boesl, PT
• Mark R Boettcher, DDS
• Bohl and Race Orthodontics

• Specialist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.