Individual provider Active NPI

James E. Bureman, O.D.

  • Optometrist
  • Springfield, MO
National Provider Identifier
1700872249
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02422 Issued in MO
Practice address
1531 E Bradford Pkwy
Suite 100
Springfield, MO 65804-6566
Phone
(417) 887-3900
Fax
(417) 887-3221
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

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

State licenses

LicenseStateTypeSpecialty
T02422MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Eye Institute of Branson LLC CurrentSince May 26, 2008 Accepting new patients
Missouri Eye Institute of Joplin LLC Past Accepting new patients

Locations

4500 E 32nd St
Joplin, MO 64804
Phone (417) 623-8164

1531 E Bradford Pkwy
Ste 100
Springfield, MO 65804

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02422 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1531 E Bradford Pkwy
Suite 100
Springfield, MO 65804-6566

Mailing address

1531 E Bradford Pkwy
Suite 100
Springfield, MO 65804-6566
Phone (417) 887-3900

Other identifiers 9

NPPES NPI Registry
IdentifierTypeStateIssuer
1285767889OtherMOJOPLIN NPI
410046647OtherMOMEDICARE RAILROAD PIN
000015239OtherMOMEDICARE GROUP
2200060OtherMOUHC
9655977OtherMOCIGNA
108584OtherMOBCBS
000013492OtherMOMEDICARE GROUP
312052723MedicaidMO
CJ4613OtherMOMEDICARE RAILROAD GROUP

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2010.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1700872249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 E BRADFORD PKWY",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046566",
            "telephone_number": "417-887-3900",
            "fax_number": "417-887-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 E BRADFORD PKWY",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046566",
            "telephone_number": "417-887-3900",
            "fax_number": "417-887-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUREMAN",
        "first_name": "JAMES",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOPLIN NPI",
            "identifier": "1285767889",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "410046647",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "000015239",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2200060",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9655977",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "108584",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "000013492",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312052723",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CJ4613",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.