Active NPI
Blair T Butterfield, D.O.
- Family Medicine Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3793
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 758899 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3793 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Healthcare Solutions LLC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.