Healthcare Provider Details

I. General information

NPI: 1215029392
Provider Name (Legal Business Name): GEORGE J BURES JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 N 12TH ST STE 400
KANSAS CITY KS
66102-5172
US

IV. Provider business mailing address

3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY MO
64130-2807
US

V. Phone/Fax

Practice location:
  • Phone: 816-599-5111
  • Fax:
Mailing address:
  • Phone: 816-923-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-21704
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: