BLUESTONE PHYSICIAN SERVICES WISCONSIN SC – NPI #1922497908
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BLUESTONE PHYSICIAN SERVICES WISCONSIN SC is a provider located in MILWAUKEE, WI. NPPES has assigned the NPI number 1922497908 to BLUESTONE PHYSICIAN SERVICES WISCONSIN SC on January 14, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Apr 30, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUESTONE PHYSICIAN SERVICES WISCONSIN SC below.

NPI Profile for
BLUESTONE PHYSICIAN SERVICES WISCONSIN SC

NPI Number
1922497908
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUESTONE PHYSICIAN SERVICES WISCONSIN SC
Primary location
342 N WATER ST STE 600
MILWAUKEE, WI 53202-5715
Phone: (651) 342-1039 Fax: (651) 342-1428
1 Other location(s):
888 Thackeray Trl
Suite 103
Oconomowoc, WI 53066-4342
Phone: (262) 354-3744
Fax: (262) 354-3748
Mailing address
270 MAIN ST N STE 300
STILLWATER, MN 55082-6788
Phone: (651) 342-1039 Fax: (651) 342-1428
Organization Subpart
No
Authorized Official
RAJIV PATEL
CEO
Phone: (314) 852-9479
Updated
Certification Date
Apr 30, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.