Michael J Bouthillette, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F0897 Issued in TX

Practice address

601 E. San Antonio Ste 203 W
Victoria, TX 77901

Phone

(361) 485-1885

Fax

(361) 578-4486

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.bouthillettemd.p6@direct.nextcare.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DDHIAA

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.

• Ucp Physicians of Central Texas, PLLC

  • Urgent Care Clinic/Center
  • Georgetown, TX
  • NPI 1922289412
  Medicare reassignment NPD
• Ucp Physicians of Central Texas, PLLC

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1154472967
  NPD
• American Regional Health Center LLP

  • Family Medicine Physician
  • Victoria, TX
  • NPI 1841230182
  NPD (past)
• Twin Fountains Urgent Care Center

  • Internal Medicine Physician
  • Victoria, TX
  • NPI 1598078453
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1578635835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8691",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158691",
            "telephone_number": "877-848-1463",
            "fax_number": "615-465-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E. SAN ANTONIO STE 203 W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77901",
            "telephone_number": "361-485-1885",
            "fax_number": "361-578-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTHILLETTE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F0897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Linae Borchert
• Sayra Joyce Borden
• Manuel De Jesus Borrell Quinones, SA-C
• Bougie and Beautified Luxury Med Spa and Primary Care Services PLLC
• John Bouras, M.D.
• Sean H Bowers, PTA
• Antonio Carvalho Braga, MD
• Irma Alicia Brand, NP
• James Rutland Brand, MD
• Gary S Branfman, MD

• Family Medicine Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.

Verify at the official NPI Registry.