NPIMap

Organization Active NPI

David a Butler DO LLC

  • Family Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1669759080
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
Legal business name
DAVID A BUTLER DO LLC
Practice address
17801 Murdock Cir Unit C
Port Charlotte, FL 33948-4003
Phone
(941) 629-3500
Fax
(941) 979-9694
NPI assigned
Nov 14, 2011
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
David Allen ButlerNPI 1639127996
Title
Owner
Phone
(941) 273-3611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10915 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111220000482 FL Part B Supplier - Clinic/Group Practice 5092981118 Receives reassigned benefits from 22 practitioners
Practice locations: Punta Gorda, FL; Venice, FL; PT Charlotte, FL; Port Charlotte, FL; Englewood, FL

National Provider Directory

National Provider Directory

Locations

17801 Murdock Cir
Unit C
Port Charlotte, FL 33948

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

1420 E Venice Ave
Venice, FL 34292
Phone (866) 226-9567

4130 Woodmere Park Blvd
Ste 12
Venice, FL 34293
Phone (941) 493-4049

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1669759080",
    "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": {
        "organization_name": "DAVID A BUTLER DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-273-3611"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.