Individual provider Active NPI

Alexander Michael Bury, PA

  • Physician Assistant
  • Olney, MD
National Provider Identifier
1356611529
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3416 Olandwood CT Ste 204
Olney, MD 20832-1373
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Jan 5, 2012
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

3416 Olandwood CT Ste 204
Olney, MD 20832-1373

Mailing address

2 Park Center CT Ste 200
Owings Mills, MD 21117-4221
Phone (855) 527-7246

Other practice location 1

2012 S Tollgate Rd Ste 102
Bel Air, MD 21015-5901
Phone (443) 490-4000

Other practice location 2

5500 Knoll North Dr Ste 500
Columbia, MD 21045-2365
Phone (855) 527-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120726000626 MD Practitioner - Physician Assistant 0840456364 Reassigns benefits to 2 organizations
I20201020001109 DC Practitioner - Physician Assistant 0840456364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

19801 Observation Dr
Germantown, MD 20876-4070
Phone (443) 693-7246

4660 Wilkens Ave
Suite 208
Baltimore, MD 21229-4848
Phone (410) 571-2946

5500 Knoll N Dr
Suite 501
Columbia, MD 21045-2370
Phone (410) 571-2946

6410 Rockledge Dr
Bethesda, MD 20817-1844

7140 Contee Rd
Suite 2800
Laurel, MD 20707-9527
Phone (855) 527-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC CurrentSince Nov 16, 2020 Accepting new patients
Advanced Pain Management Specialists, LLC Physician Assistant CurrentSince Nov 16, 2020 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Chesapeake Pain Center, LLC Past Accepting new patients

Locations

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

4660 Wilkens Ave
Ste 302
Baltimore, MD 21229
Phone (301) 644-5113

5500 Knoll North Dr
Ste 500
Columbia, MD 21045

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

19851 Observation Dr
Ste 360
Germantown, MD 20876

3416 Olandwood Ct
Ste 204
Olney, MD 20832
Phone (301) 570-7633

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

Interoperability endpoints

  • Direct secure messaging: alexander.bury.1@11679.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1356611529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK CENTER CT STE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174221",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 OLANDWOOD CT STE 204",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321373",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 S Tollgate Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210155901",
            "country_code": "US",
            "telephone_number": "443-490-4000",
            "fax_number": "443-484-2831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 Knoll North Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452365",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURY",
        "first_name": "ALEXANDER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.