Individual provider Active NPI

Rebecca Butler, M.D.

  • Pediatrics Physician
  • Bartonville, TX
National Provider Identifier
1497948913
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N6204 Issued in TX
Practice address
74 McMakin Rd
Bartonville, TX 76226-8438
Phone
(806) 470-4684
Fax
(469) 464-5260
NPI assigned
Aug 20, 2007
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N6204 TX Primary

Addresses

Primary practice location

74 McMakin Rd
Bartonville, TX 76226-8438

Mailing address

74 McMakin Rd Ste 100
Bartonville, TX 76226-8438
Phone (940) 455-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190206002218 TX Practitioner - Pediatric Medicine 9032457668 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6204TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. CurrentSince Jan 8, 2019 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Jan 8, 2019 Accepting new patients
Rebecca D Butler MD PLLC Pediatrics Past Accepting new patients

Locations

74 McMakin Rd
#100
Bartonville, TX 76226
Phone (940) 455-7200

2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: rebecca.butler.p1@direct.thc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1497948913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MCMAKIN RD STE 100",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762268438",
            "telephone_number": "940-455-7200",
            "fax_number": "940-455-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MCMAKIN RD",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762268438",
            "telephone_number": "806-470-4684",
            "fax_number": "469-464-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "REBECCA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N6204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartonville, TX

Sources for this page

Verify at the official NPI Registry.