Bob Matthew Gountis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3517-012 Issued in WI

Practice address

1033 N Mayfair Rd
Suite 303
Wauwatosa, WI 53226-3442

Phone

(414) 778-1455

Fax

(414) 810-4052

NPI assigned

Jan 23, 2007

Last updated

Nov 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Nicholas Health Institute SC

  • Orthopedic Chiropractor
  • Wauwatosa, WI
  • NPI 1689813545
  Medicare reassignment NPD Authorized official
• Jensen Health & Energy Center, S.C.

  • Chiropractor
  • Elm Grove, WI
  • NPI 1952333759
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1477607612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N MAYFAIR RD",
            "address_2": "SUITE 303",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263442",
            "telephone_number": "414-778-1455",
            "fax_number": "414-810-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N MAYFAIR RD",
            "address_2": "SUITE 303",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263442",
            "telephone_number": "414-778-1455",
            "fax_number": "414-810-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUNTIS",
        "first_name": "BOB",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3517-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Gore, PA-C
• Melissa Gorman
• Robin Ann Gorman, DDS
• Aubrie Kalin Gorski, LPC-IT
• Karen Gotwalt, M.D.
• Charles M Grade, MD
• Donna Ruth Grady, MS
• Justin Michael Graff, PHARM.D.
• Paige E Graham, PT, DPT
• Gail E Grahn, PTA

• Chiropractor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.