Active NPI
Michael Butler, M.D.
- Family Medicine Physician
- Bremerton, WA
National Provider Identifier
1194775510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00017240
- Practice address
- 2601 Cherry Ave
Ste 213
Bremerton, WA 98310-4203 - Phone
- (360) 479-6041
- Fax
- (360) 405-0768
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00017240 | WA | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD00017240 | WA |
Addresses
Primary practice location
2601 Cherry Ave
Ste 213
Bremerton, WA 98310-4203
Mailing address
2601 Cherry Ave
Ste 213
Bremerton, WA 98310-4203
Phone (360) 479-6041
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4324384 | Other | AETNA | |
| 75424 | Other | WA | LABOR & INDUSTRIES |
| BU8932 | Other | REGENCE BLUE SHIELD | |
| 8915346 | Other | WA | CRIME VICTIMS COMP |
| 8178105 | Medicaid | WA | |
| 080006439 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald L Sharman MD Inc PS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Bremerton, WA
- NPI 1881634251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194775510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 CHERRY AVE",
"address_2": "STE 213",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983104203",
"telephone_number": "360-479-6041",
"fax_number": "360-405-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 CHERRY AVE",
"address_2": "STE 213",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983104203",
"telephone_number": "360-479-6041",
"fax_number": "360-405-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00017240",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "WA",
"license": "MD00017240",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4324384",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "75424",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "BU8932",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS COMP",
"identifier": "8915346",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8178105",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080006439",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.