Frederic Butler, MD
Individual provider Active NPI Occupational Medicine Physician · Brawley, CA
NPI 1801896907 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1801896907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Medicine Physician 2083X0100X
- License
- A48183 (CA)
- Practice address
- 900 Main St
Brawley, CA 92227-2630 - Phone
- (760) 344-6471
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031113000303 | CA | Practitioner - Family Practice |
9133033319 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48183 | CA | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas de Salud del Pueblo, Inc | Current | Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc. | Current |
Accepting new patients | |
| Clinicas de Salud del Pueblo Inc. | Current |
Accepting new patients | |
| U.S. Healthworks Medical Group, PC | Past | Accepting new patients | |
| Eggleton & Langton Physical Therapy Management Services | Past | Accepting new patients | |
| U S Healthworks Medical Group | Past | Accepting new patients |
Locations
900 Main St
Brawley, CA 92227
Phone (760) 344-6471
223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020
852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257
Interoperability endpoints
- frederic.butler@3528.securemail.prognocis.com
- frederic.butler.p1@direct.cdsdp.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | A48183 | CA | Yes |
Addresses
Primary practice location
900 Main St
Brawley, CA 92227-2630
Mailing address
900 Main St
Brawley, CA 92227-2630
Phone (760) 344-6471
Other providers in Brawley, CA
- Riley Brown
- Jay Kenneth Paloma Buenaflor
- Valerie Marie Buenaflor
- Arsinur Diana Burcoglu-Oral
- Leticia Bustamante
- Arlet M Calderon Guerrero
- Kimberly Calderon
- Calipatria State Prison
- Jerry Call
- Irma Yessenia Carbajal
All providers in Brawley, CA · Occupational Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.