Charles Daniel Bury, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD07711 Issued in OR

Practice address

2300 Clairmont Dr
Klamath Falls, OR 97601-1136

Phone

(541) 883-8134

Fax

(541) 883-1510

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIAFAA

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

• Klamath Fa Mily Practice Center PC

  • Family Medicine Physician
  • Klamath Falls, OR
  • NPI 1245228980
  NPD
• Central Oregon Dermatology, PC

  • Clinic/Center
  • Bend, OR
  • NPI 1336307875
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1174511810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CLAIRMONT DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011136",
            "telephone_number": "541-883-8134",
            "fax_number": "541-883-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CLAIRMONT DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011136",
            "telephone_number": "541-883-8134",
            "fax_number": "541-883-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURY",
        "first_name": "CHARLES",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD07711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Burkett
• Laini Rae Burkholder, PSS
• Dustine Leanne Burrier, QMHA
• Sara Burt
• Lindsey Gale Burwell, M.D.
• Darcy R. Butcher, FNPC
• Larrysa Buxman
• Tatiana Marie Caddy
• Jolene R Cady, MA
• Rosana Paulina Cahill, MS, QMHP

• Family Medicine Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.