Active NPI
Tjerk F Bury, MD
- Surgery of the Hand (Plastic Surgery) Physician
- Thousand Oaks, CA
National Provider Identifier
1386833796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- A48602
- Practice address
- 351 Rolling Oaks Dr Ste 203
Thousand Oaks, CA 91361-1268 - Phone
- (805) 777-7333
- Fax
- (805) 777-7330
- NPI assigned
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | A48602 | CA | Primary |
Addresses
Primary practice location
351 Rolling Oaks Dr Ste 203
Thousand Oaks, CA 91361-1268
Mailing address
351 Rolling Oaks Dr Ste 203
Thousand Oaks, CA 91361-1268
Phone (805) 777-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48602 | CA | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simi Valley Hospital and Health Care Services | Past | Accepting new patients | |
| West Hills Hospital | Past | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients | |
| Los Robles Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1033163019
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
-
- General Acute Care Hospital
- West Hills, CA
- NPI 1023065729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1386833796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 ROLLING OAKS DR STE 203",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611268",
"telephone_number": "805-777-7333",
"fax_number": "805-777-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 ROLLING OAKS DR STE 203",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611268",
"telephone_number": "805-777-7333",
"fax_number": "805-777-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURY",
"first_name": "TJERK",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CA",
"license": "A48602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.