Individual provider Active NPI

Brian Butler, DPM

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1093786162
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N003220 Issued in NY
Practice address
1 Hanson PL
Suite 1215
Brooklyn, NY 11243-2907
Phone
(718) 230-4844
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X N003220 NY Primary

Addresses

Primary practice location

1 Hanson PL
Suite 1215
Brooklyn, NY 11243-2907

Mailing address

77 Sagamore Rd
Bronxville, NY 10708-1506

Other identifiers 1

IdentifierTypeStateIssuer
00703993MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000965 NY Practitioner - Podiatry 7315995941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

144 S Oxford St
Brooklyn, NY 11217-1604
Phone (917) 318-8270

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of skin lesions1-10
Removal of nail tissue910
Removal or shaving of skin growth639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003220NYMDSpecialist
003220NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Butler DPM PC Specialist CurrentSince Jul 4, 2010 Accepting new patients
Caledonian Health Center PastSince Dec 1, 2004 Accepting new patients
LMC Physician Services, PC Past Accepting new patients
TBHC Medical Services PC Past Accepting new patients

Locations

144 S Oxford St
Brooklyn, NY 11217
Phone (718) 638-0360

144 S Oxford St
#H
Brooklyn, NY 11217

2720 Surf Ave
Brooklyn, NY 11224
Phone (718) 230-4844

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

1 Hanson Pl
Ste 1215
Brooklyn, NY 11243
Phone (718) 230-4844

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1093786162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SAGAMORE RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107081506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HANSON PL",
            "address_2": "SUITE 1215",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112432907",
            "telephone_number": "718-230-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BRIAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "N003220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00703993",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.