NPIMap

Individual provider Active NPI

William Bradford Butler, MD

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1740855691
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
LL88061 Issued in SC
Practice address
169 Ashley Ave RM 202
Charleston, SC 29425-2789
Phone
(843) 792-7179
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X LL88061 SC Primary

Addresses

Primary practice location

169 Ashley Ave RM 202
Charleston, SC 29425-2789

Mailing address

96 Jonathan Lucas St # 323
Charleston, SC 29425-3230
Phone (843) 792-7179

Other practice location 1

1270 Prince Ave Ste 201
Athens, GA 30606-2789
Phone (706) 475-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20260316003818 SC Practitioner - Diagnostic Radiology 7618346180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Lexington Radiology AssociatesGroup PAC ID 7315342185, 32 clinicians

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2365

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL88061SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians Diagnostic Radiology CurrentSince Feb 28, 2026 Accepting new patients
Musc Community Physicians CurrentSince Feb 28, 2026 Accepting new patients

Locations

169 Ashley Ave
Rm 202
Charleston, SC 29425
Phone (843) 792-0192

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1740855691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS ST # 323",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294253230",
            "telephone_number": "843-792-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE RM 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294252789",
            "telephone_number": "843-792-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Prince Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062789",
            "country_code": "US",
            "telephone_number": "706-475-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "WILLIAM",
        "middle_name": "BRADFORD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "LL88061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.