Individual provider Active NPI

Brett Lynn Butz, MD

  • Pain Medicine (Anesthesiology) Physician
  • Chico, CA
National Provider Identifier
1538155668
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
052058 Issued in GA
Practice address
631 W East Ave
Chico, CA 95926-7201
Phone
(530) 720-0176
Fax
(530) 636-4517
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 052058 GA
Pain Medicine (Anesthesiology) Physician 207LP2900X 052058 GA Primary

Addresses

Primary practice location

631 W East Ave
Chico, CA 95926-7201

Mailing address

631 W East Ave
Chico, CA 95926-7201
Phone (530) 720-0176

Other identifiers 1

IdentifierTypeStateIssuer
257726733BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NM, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050801001121 GA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3476581331 Reassigns benefits to 1 organization
I20091124000634 NM Practitioner - AnesthesiologyPractitioner - Pain Management 3476581331 Reassigns benefits to 2 organizations
I20121121000444 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3476581331 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Anesthesia Associates Anesthesiology CurrentSince Mar 19, 2018 Accepting new patients
The Interventional Spine and Pain Management Center PC CurrentSince Feb 16, 2009 Accepting new patients
CPM Labs, LLC Current Accepting new patients
Otero County Hospital Association CurrentSince Feb 1, 2019 Accepting new patients
Otero County Hospital Association CurrentSince Feb 1, 2019 Accepting new patients
The Interventional Spine and Pain Management Center, PC CurrentSince Feb 16, 2009 Accepting new patients
Greater Anesthesia Services LLC Past Accepting new patients
North Fulton Anesthesia Associates PC Anesthesiology PastSince Aug 13, 2023 Accepting new patients
Northlake Anesthesia Professionals, LLC Anesthesiology Past Accepting new patients
Deer Creek Surgery Center LLC PastSince Oct 23, 2017 Accepting new patients
Spine & Muscle Rehabilitation Inc Past Accepting new patients

Locations

127 Raley Blvd
Chico, CA 95928
Phone (530) 720-0176

127 Raley Blvd
Ste 100
Chico, CA 95928
Phone (530) 514-0904

127 Raley Blvd
Ste 125
Chico, CA 95928
Phone (530) 720-0176

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

1388 Wellbrook Cir NE
Ste 1500
Conyers, GA 30012

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2351 25th St
Alamogordo, NM 88310
Phone (575) 434-2887

2474 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 747-0506

Organizations & group practices 12

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1538155668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267201",
            "telephone_number": "530-720-0176",
            "fax_number": "530-636-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267201",
            "telephone_number": "530-720-0176",
            "fax_number": "530-636-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZ",
        "first_name": "BRETT",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "052058",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "052058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257726733B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.