Active NPI
Brent Butner, CRNA
- Certified Registered Nurse Anesthetist
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209019505
- Practice address
- 1800 Fortino Blvd
Suite 2
Pueblo, CO 81008-1890 - Phone
- (970) 261-5183
- NPI assigned
- Oct 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2018 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | APN.0992033-CRNA | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | AP129705 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 209019505 | IL | Primary |
Addresses
Primary practice location
1800 Fortino Blvd
Suite 2
Pueblo, CO 81008-1890
Mailing address
1800 Fortino Blvd
Suite 2
Pueblo, CO 81008-1890
Phone (970) 261-5183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM, IL, TX, MT
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Michigan Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 13TH St
Havre, MT 59501-5222
Phone (406) 265-2211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0992033-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
| 209019505 | IL | MD | Certified Registered Nurse Anesthetist |
| AP129705 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| Diehl Anesthesia Inc | Current | Accepting new patients | |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Delta County Memorial Hospital | Current | Accepting new patients | |
| Ecgj Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northern Montana Hospital | Current | Accepting new patients | |
| Delta County Memorial Hospital | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Delta County Memorial Hospital | Current | Accepting new patients | |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Matthew J Furman, D.O. LLC | Past | Accepting new patients |
Locations
9320 Grand Cordera Pkwy
Colorado Springs, CO 80924
Phone (719) 258-1250
236 Cottonwood St
Delta, CO 81416
Phone (970) 874-7681
1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668
1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470
1035 Wellington Ave
Grand Junction, CO 81501
Phone (970) 242-6600
9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
30 13th St
Havre, MT 59501
Phone (406) 262-1302
504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
Organizations & group practices 20
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.
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
- Anesthesiology Physician
- Sedalia, CO
- NPI 1467833897
-
- Certified Registered Nurse Anesthetist
- Grand Junction, CO
- NPI 1609120070
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
-
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Rural Acute Care Hospital
- Delta, CO
- NPI 1114180817
-
- Rural Acute Care Hospital
- Delta, CO
- NPI 1417935446
-
- Rural Health Clinic/Center
- Delta, CO
- NPI 1629521539
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1629440938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 FORTINO BLVD",
"address_2": "SUITE 2",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081890",
"telephone_number": "970-261-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 FORTINO BLVD",
"address_2": "SUITE 2",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081890",
"telephone_number": "970-261-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTNER",
"first_name": "BRENT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-26",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2018",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "APN.0992033-CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP129705",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209019505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.