Individual provider Active NPI

Brent Butner, CRNA

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
National Provider Identifier
1629440938
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209019505 Issued in IL
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

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, MT5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20151114000076 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901702042 Reassigns benefits to 2 organizations
I20171220000947 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901702042 Reassigns benefits to 3 organizations
I20191031000040 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901702042 Reassigns benefits to 1 organization
I20220328001749 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901702042 Reassigns benefits to 2 organizations
I20230323000787 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901702042 Reassigns benefits to 2 organizations

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
Northern Montana HospitalGroup PAC ID 2264343912, 44 clinicians

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

LicenseStateTypeSpecialty
APN.0992033-CRNACOMDCertified Registered Nurse Anesthetist
209019505ILMDCertified Registered Nurse Anesthetist
AP129705TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc Current Accepting new patients
Northern Montana Hospital CurrentSince Jan 23, 2023 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Mar 24, 2019 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Diehl Anesthesia Inc CurrentSince May 5, 2023 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2022 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Nov 6, 2017 Accepting new patients
Delta County Memorial Hospital Current Accepting new patients
Ecgj Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 6, 2018 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Delta County Memorial Hospital CurrentSince Sep 7, 2020 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jul 1, 2022 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Mar 24, 2019 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Jul 8, 2019 Accepting new patients
Northern Montana Hospital CurrentSince Jan 23, 2023 Accepting new patients
Delta County Memorial Hospital CurrentSince Sep 7, 2020 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2022 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Nov 6, 2017 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.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.