NPIMap

Individual provider Active NPI

Melvin L. Butler, M.D.

  • Gastroenterology Physician
  • Nashville, TN
National Provider Identifier
1609807163
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD0000036764 Issued in TN
Practice address
28 White Bridge Road
Suite 208
Nashville, TN 37205-1467
Phone
(615) 352-3000
Fax
(615) 352-6673
NPI assigned
Jul 5, 2006
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD0000036764 TN Primary

Addresses

Primary practice location

28 White Bridge Road
Suite 208
Nashville, TN 37205-1467

Mailing address

28 White Bridge Road
Suite 208
Nashville, TN 37205-1467
Phone (615) 352-3000

Other identifiers 1

IdentifierTypeStateIssuer
3878042MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000036764TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Past Accepting new patients
East Tennessee Women's Care, PC Past Accepting new patients
Totty Chiropractic Centers, P.C. Past Accepting new patients
Health Ventures, Inc Past Accepting new patients
Smyrna Pain Consultants, P.C. Past Accepting new patients
Patrick T. Roughneen, M.D., P.a. Past Accepting new patients
Totty Chiropractic Center, P.C. Past Accepting new patients

Organizations & group practices 7

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1609807163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WHITE BRIDGE ROAD",
            "address_2": "SUITE 208",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051467",
            "telephone_number": "615-352-3000",
            "fax_number": "615-352-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WHITE BRIDGE ROAD",
            "address_2": "SUITE 208",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051467",
            "telephone_number": "615-352-3000",
            "fax_number": "615-352-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MELVIN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD0000036764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3878042",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.