MARTIN J BURY


Address: 710 Kenmoor Ave Se, Suite 100, Grand Rapids, MI 49546-2379
Phone: 6169549800

MARTIN J BURY (NPI# 1235138397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235138397
Entity Type Individual
Full Name MARTIN J BURY
Credential M.D.
Practice Address 710 Kenmoor Ave Se
Suite 100
Grand Rapids
MI 49546-2379
Practice Telephone 6169549800
Practice Fax Number 6169542116
Mailing Telephone 6169549800
Mailing Fax Number 6169542116
Enumeration Date 2005-07-20
Last Update Date 2014-02-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 4301046999 MI Other Service Providers
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
4301046999 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI RR MEDICARE 110215649 01

Office Location

Street Address 710 KENMOOR AVE SE
SUITE 100
City GRAND RAPIDS
State MI
Zip Code 49546-2379

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356777098 Abby Alysse Gaskell Physician Assistant 710 Kenmoor Ave Se, Ste. 100, Grand Rapids, MI 49546-2302 2013-09-25
1992142624 Jeremy Robert Veenema Pediatrics 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 2013-06-04
1164785887 Ann Carol Swagman Registered Nurse 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546 2012-06-18
1124332606 Intervention Insights Inc. Clinic/Center 710 Kenmoor Ave Se, Ste 120, Grand Rapids, MI 49546-2379 2010-07-27
1033442231 Christopher Ross Russo Anesthesiology 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2009-09-08
1508092164 Joshua Suderman Anesthesiology 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2009-06-09
1164664082 Javery Pain Institute PC Pain Medicine 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2009-03-25
1154509768 Linda Lou Feighner Nurse Practitioner 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 2008-02-06
1932227915 Western Michigan Pediatrics, PC Pediatrics 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 2007-03-27
1871632323 Ruth Ann Brintnall Nurse Practitioner 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2007-02-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1235765827 Magic Touch Salon Specialist 746 Burton St Se, Grand Rapids, MI 49507-3204 2020-03-16
1255990552 Kboose Specialist 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 2019-06-10
1164874210 Joshua Baron Specialist 2238 Godwin Ave Se, Grand Rapids, MI 49507-3130 2016-07-12
1396121620 Kum Cha Monroe Specialist 4594 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525-1646 2015-08-10
1538545132 Lisa K. Townsend Specialist 1135 Walker Ave Nw, Grand Rapids, MI 49504-4062 2015-08-05
1992025464 Cari L Brooks Specialist 1490 East Beltline Ave Se, Hope Network, Grand Rapids, MI 49506-4336 2010-06-08
1588840854 Exalta Health Specialist 2060 Division Ave S, Grand Rapids, MI 49507-3029 2008-01-16
1114128097 Rumana Awan Specialist 1505 3 Mile Rd. N.w., Ste. B, Grand Rapids, MI 49544 2007-05-30
1942410931 Michelle Terrell Specialist 1550 Three Mile Rd Nw Suite B, Grand Rapids, MI 49544 2007-05-22
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Competitor

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City GRAND RAPIDS
Zip Code 49546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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