Organization Active NPI

James M. Bury, MD, LTD.

  • Family Medicine Physician
  • Salem, WI
National Provider Identifier
1053507624
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JAMES M. BURY, MD, LTD.
Practice address
7137 236TH Ave Ste 103
Salem, WI 53168-8975
Phone
(262) 843-4422
Fax
(262) 843-1166
NPI assigned
Sep 18, 2007
Last updated
Nov 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
James Bury, MDNPI 1467486514
Title
President
Phone
(262) 843-3064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

7137 236TH Ave Ste 103
Salem, WI 53168-8975

Mailing address

7137 236TH Ave Ste 103
Salem, WI 53168-8975
Phone (262) 843-4422

Other identifiers 1

IdentifierTypeStateIssuer
21314400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071025000063 WI Part B Supplier - Clinic/Group Practice 0143317099 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, WI; Pleasant Prairie, WI; Paddock Lake, WI; Kenosha, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1053507624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7137 236TH AVE STE 103",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531688975",
            "telephone_number": "262-843-4422",
            "fax_number": "262-843-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7137 236TH AVE STE 103",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531688975",
            "telephone_number": "262-843-4422",
            "fax_number": "262-843-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. BURY, MD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "BURY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-843-3064",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21314400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.