1. Home
  2. Directory
  3. Texas
  4. Jbsa Lackland
  5. General Practice
  6. NPI Profile

DR. JORDAN A BURY
NPI 1275112674
General Practice in Jbsa Lackland, TX

Active since April 05, 2021PECOS Enrolled
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236(210) 292-5350 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2024, Aug 29, 2022, Apr 5, 2021 (3 updates tracked since 2021).

About Dr. Jordan A Bury NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN A BURY (NPI 1275112674) is an individual general practice provider in Jbsa Lackland, Texas, licensed in Ohio (34.016042) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275112674
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. JORDAN A BURY
Location Address1100 WILFORD HALL LOOPJbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · (614) 795-3411
Phone(210) 292-5350
Sole ProprietorNo
Enumeration DateApril 5, 2021
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1275112674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OH · 34.016042
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12145 N Fairfield Rd Ste 100Beavercreek, OH 45431-2783 · Phone (937) 558-3900
Location 24881 Sugar Maple DrWright Patterson AFB, OH 45433-5529 · Phone (937) 257-6824

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan A Bury is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HENRY ANDREW FOERSTER DMD
Dentist (Periodontics)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6990
HEIDI DEARBORN DO
Dermatology
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5350
PARAMJIT BHULLAR MD
Ophthalmology (Cornea and External Diseases Specialist)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 916-9900
SARAH MCDONALD MD
Pediatrics
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-4277
DANIEL ALLAN WEIDNER DO
Emergency Medicine
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-3403
THOMAS BERNARD HOLLAND PSY. D
Psychologist (Clinical)
1100 WILFORD HALL LOOP
SAN ANTONIO, TX 78236
Bexar County (304) 702-5431
MICHELL ALEXANDRE LLERENA
Psychiatry & Neurology (Psychiatry)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 997-2060
MS. KIMBERLY K MORGAN APN
Nurse Practitioner (Family)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 925-8318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Bury's NPI number?

The NPI number for Jordan Bury is 1275112674. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Jordan Bury located?

Jordan Bury practices at 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-5350.

What is Jordan Bury's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jordan Bury enrolled in Medicare?

Yes. Jordan Bury is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Bury was last updated on June 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.