NPI age
19 years
Enumerated 2006-12-27
● Active
Type 1 · Individual
Jeffrey Daniel Burry, D.O.
Burry is 1 of 1 otolaryngology providers in Lewiston and 1 of 11 in Idaho.
Primary specialty
Otolaryngology
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11 active otolaryngology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 72% — 27% of peers are multi-state
Subspecialties
0
54% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
330 Warner Dr
Lewiston, ID 835014441
Mailing address
330 Warner Dr
Lewiston, ID 835014441
Specialties
-
Otolaryngology PrimaryAn otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 55098 | BLUECROSS OF IDAHO |
| 05 (WA) | 8398166 | |
| 01 | 000010147208 | REGENCE BLUESHIELD OF ID |
| 05 (ID) | 806910700 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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