Physician Compare National (NPI:1467486514)

HEALTHCARE PROVIDER: JAMES M BURY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1467486514
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426145376
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071025000058
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BURY
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7137 236TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	PADDOCK LAKE
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	531689664
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	520021
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNITED HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y