Barry K Butler P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME100125 Issued in FL

Legal business name

BARRY K BUTLER P.A.

Practice address

10708 Bradbury Way
Fort Myers, FL 33913

Phone

(239) 277-1772

Fax

(856) 423-6006

NPI assigned

Oct 5, 2015

Organization subpart

No

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

Authorized official

Name

Barry K Butler, M.D.NPI 1770581449

Title

Owner/Physician

Phone

(239) 277-1772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry Butler, MD

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1770581449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1518337492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10708 BRADBURY WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33913",
            "telephone_number": "239-277-1772",
            "fax_number": "856-423-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10708 BRADBURY WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33913",
            "telephone_number": "239-277-1772",
            "fax_number": "856-423-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY K BUTLER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "239-277-1772",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Barroso Cordoves
• Maria Barroso Cue
• Lilian Barroso, APRN
• William Charles Barrow, M.D.
• Willis Bon Barrow, MD
• Megan Marie Barry, D.O.
• Meghan Barry, DC
• Michael Christopher Barry, DO
• Sally Barth, DDS
• Keesha Alexandra Barthelemy, LMHC, CASAC-2

• Internal Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.