NPIMap

Individual provider Active NPI

David Bryan Butcher, MD

  • Internal Medicine Physician
  • West Branch, MI
National Provider Identifier
1164469862
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076020 Issued in MI
Practice address
648 Progress St Ste 101
West Branch, MI 48661-8602
Phone
(989) 345-0204
Fax
(989) 345-3727
NPI assigned
Jun 1, 2006
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301076020 MI
Internal Medicine Physician 207R00000X 4301076020 MI Primary

Addresses

Primary practice location

648 Progress St Ste 101
West Branch, MI 48661-8602

Mailing address

648 Progress St Ste 101
West Branch, MI 48661-8602
Phone (989) 345-0204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000276 MI Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 6507878089 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians
Dialysis and Nephrology Consultants PCGroup PAC ID 3678510401, 4 clinicians

Practice addresses (Care Compare)

4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-1644

4818 W Professional Dr
Bay City, MI 48706-2844
Phone (989) 345-0204

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301076020MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan, PLLC Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Apogee Medical Group, Michigan, PC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Dialysis and Nephrology Consultants PC Nephrology CurrentSince Jun 1, 2019 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Feb 16, 2023 Accepting new patients
Renal Associates of Mid-Michigan PC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Mymichigan Medical Group Internal Medicine CurrentSince Feb 16, 2023 Accepting new patients
Mymichigan Medical Group Current Accepting new patients
Lifelink Healthcare Institute Inc Past Accepting new patients
Colorado Springs Nephrology Nephrology Past Accepting new patients
Mymichigan Medical Center West Branch Past Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

4818 W Professional Dr
Bay City, MI 48706
Phone (989) 345-0204

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

415 W Wackerly St
Midland, MI 48640
Phone (989) 837-6505

170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

648 Progress St
Ste 101
West Branch, MI 48661
Phone (989) 345-0204

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: dbutcher21307@direct.covenanthealthcare.com
  • Direct secure messaging: dbutcher59689@mymichiganhealth.midirect.net

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1164469862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 PROGRESS ST STE 101",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618602",
            "telephone_number": "989-345-0204",
            "fax_number": "989-345-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 PROGRESS ST STE 101",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618602",
            "telephone_number": "989-345-0204",
            "fax_number": "989-345-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "DAVID",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301076020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.