NPIMap

Individual provider Active NPI

David Allen Butler, D.O.

  • Family Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1639127996
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10915 Issued in FL
Practice address
17801 Murdock Cir Unit C
Port Charlotte, FL 33948-4003
Phone
(941) 629-3500
Fax
(941) 979-9694
NPI assigned
May 5, 2006
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10915 FL Primary
Family Medicine Physician 207Q00000X 2057 WV
Hospitalist Physician 208M00000X OS10915 FL

Addresses

Primary practice location

17801 Murdock Cir Unit C
Port Charlotte, FL 33948-4003

Mailing address

17801 Murdock Cir Unit C
Port Charlotte, FL 33948-4003
Phone (941) 629-3500

Other identifiers 3

IdentifierTypeStateIssuer
001859054OtherBLUE CROSS/BLUE SHIELD
3810001614MedicaidWV
2516325MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000835 FL Practitioner - Family Practice 3577526136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David a Butler DO LLCGroup PAC ID 5092981118, 15 clinicians

Practice addresses (Care Compare)

2400 Harbor Blvd
Port Charlotte, FL 33952-5038
Phone (941) 273-3611

3005 Caring Way
Suite 1
Port Charlotte, FL 33952-5304
Phone (941) 629-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Physicians Partners Group LLC Current Accepting new patients
David a Butler DO LLC Family Medicine CurrentSince Dec 1, 2011 Accepting new patients

Locations

1111 Drury Ln
Englewood, FL 34224
Phone (941) 474-9371

729 Crestwood Rd
Englewood, FL 34223
Phone (203) 554-3420

17801 Murdock Cir
Unit C
Port Charlotte, FL 33948

18316 Murdock Cir
Unit 108
Pt Charlotte, FL 33948
Phone (239) 229-4270

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

2400 Harbor Blvd
Ste 4
Pt Charlotte, FL 33952
Phone (941) 273-3611

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

3005 Caring Way
Ste 1
Pt Charlotte, FL 33952
Phone (941) 249-8493

3005 Caring Way
Ste 2
Pt Charlotte, FL 33952
Phone (304) 615-6029

2295 Shreve St
Punta Gorda, FL 33950
Phone (941) 575-9390

24949 Sandhill Blvd
Punta Gorda, FL 33983
Phone (941) 205-2180

25325 Rampart Blvd
Punta Gorda, FL 33983
Phone (941) 347-3155

450 Shreve St
Punta Gorda, FL 33950
Phone (941) 585-9244

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Charming Lakes RehabLakeland, FL, CCN 105693 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 31, 2025
Jan 31, 2025
Sun Harbor HealthcarePort Charlotte, FL, CCN 105982 Skilled nursing facility Contracted Managing Employee (100%) Jan 1, 2024
Creekside Health and Rehabilitation CenterSarasota, FL, CCN 105454 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 29, 2025
Oct 29, 2025
Wedgewood Healthcare and Rehabilitation CenterLakeland, FL, CCN 106002 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 23, 1969
Feb 10, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1639127996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17801 MURDOCK CIR UNIT C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484003",
            "telephone_number": "941-629-3500",
            "fax_number": "941-979-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17801 MURDOCK CIR UNIT C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484003",
            "telephone_number": "941-629-3500",
            "fax_number": "941-979-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10915",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2057",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS10915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "001859054",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001614",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2516325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.