Individual provider Active NPI

Blair T Butterfield, D.O.

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1487600219
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3793 Issued in AZ
Practice address
1156 S Fern CT
Gilbert, AZ 85296-3673
Phone
(480) 694-9389
Fax
(480) 900-8567
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3793 AZ Primary

Addresses

Primary practice location

1156 S Fern CT
Gilbert, AZ 85296-3673

Mailing address

1156 S Fern CT
Gilbert, AZ 85296
Phone (480) 694-9388

Other identifiers 1

IdentifierTypeStateIssuer
758899MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428001130 AZ Practitioner - Family PracticePractitioner - General Practice 0244279263 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3793AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family Medicine CurrentSince Mar 4, 2024 Accepting new patients

Locations

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

3336 E Chandler Heights Rd
Ste 1
Gilbert, AZ 85298

4135 S Power Rd
Ste 120
Mesa, AZ 85212
Phone (480) 892-7000

4135 S Power Rd
Ste 129
Mesa, AZ 85212
Phone (480) 751-3091

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1487600219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 S FERN CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85296",
            "telephone_number": "480-694-9388",
            "fax_number": "480-900-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 S FERN CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963673",
            "telephone_number": "480-694-9389",
            "fax_number": "480-900-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERFIELD",
        "first_name": "BLAIR",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758899",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.