{"npi":"1275698367","type":"NPI-1","status":"active","name":{"display":"Jeffrey Burry D.O.","other":[],"first":"JEFFREY","last":"BURRY","middle":"DANIEL","credential":"D.O."},"specialty":{"primary_taxonomy":"207YX0905X","primary_taxonomy_description":"Otolaryngology/Facial Plastic Surgery Physician","slug":"otolaryngology-facial-plastic-surgery-physician","schema_org_specialty":null,"all":[{"code":"207YX0905X","description":"Otolaryngology/Facial Plastic Surgery Physician","primary":false,"state":"WA","license":"OP00001929"},{"code":"207YX0905X","description":"Otolaryngology/Facial Plastic Surgery Physician","primary":true,"state":"ID","license":"O-337"}]},"addresses":[{"purpose":"LOCATION","street_1":"330 WARNER DR","city":"LEWISTON","state":"ID","postal_code":"835014441","country_code":"US","phone":"2087460193","fax":"2087467074"},{"purpose":"MAILING","street_1":"330 WARNER DR","city":"LEWISTON","state":"ID","postal_code":"835014441","country_code":"US","phone":"2087460193","fax":"2087467074"}],"license":{"state":"ID","number":"O-337"},"identifiers":[{"type_code":"01","label":"Other","value":"55098","state":null,"issuer":"BLUECROSS OF IDAHO"},{"type_code":"05","label":"Medicaid","value":"8398166","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"000010147208","state":null,"issuer":"REGENCE BLUESHIELD OF ID"},{"type_code":"05","label":"Medicaid","value":"806910700","state":"ID","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040806000513","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"WA","pac_id":"5698662229"},{"enrlmt_id":"I20040806001198","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"ID","pac_id":"5698662229"}]},"enumeration_date":"2006-12-27","last_updated":"2025-07-18","_meta":{"source":"NPPES","snapshot_date":"2025-07-18","doc_url":"https://findmynpi.com/api"}}