Paul Bures DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PAUL BURES DO

Practice address

9417 Broadview Rd
Broadview Heights, OH 44147-2307

Phone

(440) 545-2272

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Paul R Bures, DONPI 1336300334

Title

Owner

Phone

(614) 214-6390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Richard Bures, D.O.

  • Family Medicine Physician
  • Broadview Heights, OH
  • NPI 1336300334
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1821855842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 W 19TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 BROADVIEW RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472307",
            "telephone_number": "440-545-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BURES DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "BURES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-214-6390",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pannette Behavioral Health Care LLC
• Douglas Paul Pannette, LISW-S
• Adrianne Marie Parker, PMHNP-BC
• Donald G Patacca, DDS
• John Bruce Pate
• Annette L. Pedersen, RDN, LD, CDE
• Sarah Pennington
• Alyssa Perna
• Raelene Persad-Maharaj, M.A. CCC-SLP
• Heather Jean Petroff, D.D.S

• Family Medicine Physician in Broadview Heights, OH
• Providers in Broadview Heights, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.