NPIMap

Organization Active NPI

Wisconsin Bone & Joint S C

Doing business as Wisconsin Bone and Joint S C

  • Orthopaedic Surgery Physician
  • Glendale, WI
National Provider Identifier
1760013890
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WISCONSIN BONE & JOINT S C
Doing business as
Wisconsin Bone and Joint S C
Practice address
525 W River Woods Pkwy Ste 130
Glendale, WI 53212-1010
Phone
(414) 961-0304
Fax
(414) 961-2061
NPI assigned
Jan 28, 2020
Last updated
Jan 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
WISCONSIN BONE & JOINT S CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Dale E Bauwens, MDNPI 1568457059
Title
Medical Doctor
Phone
(414) 257-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

525 W River Woods Pkwy Ste 130
Glendale, WI 53212-1010

Mailing address

2500 N Mayfair Rd Ste 500
Wauwatosa, WI 53226-1415
Phone (414) 257-2525

Other names 1

  • WISCONSIN BONE AND JOINT S C Doing business as

National Provider Directory

National Provider Directory
Part of
Bauwens Klein MD SC

Locations

2500 N Mayfair Rd
Ste 500
Wauwatosa, WI 53226
Phone (414) 257-1772

2500 N Mayfair Rd
Ste 550
Wauwatosa, WI 53226
Phone (414) 257-2525

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1760013890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD STE 500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261415",
            "telephone_number": "414-257-2525",
            "fax_number": "414-257-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W RIVER WOODS PKWY STE 130",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121010",
            "telephone_number": "414-961-0304",
            "fax_number": "414-961-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN BONE & JOINT S C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISCONSIN BONE & JOINT S C",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "BAUWENS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "414-257-2525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WISCONSIN BONE AND JOINT S C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.