Active NPI
Brent A Butcher, MD
- Emergency Medicine Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A67738
- Practice address
- 5555 Grossmont Center Dr
La Mesa, CA 91942-3019 - Phone
- (619) 644-4401
- NPI assigned
- Jul 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A67738 | CA | Primary |
Addresses
Primary practice location
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Mailing address
PO Box 12170
Westminster, CA 92685-2170
Phone (877) 818-6102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A677380 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Missouri, Columbia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7330
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.23 of 100
- Quality
- 82.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67738 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Chico Emergency Physicians Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Hemet Emergency Med Group @ Menifee Hospital | Emergency Medicine | Past | Accepting new patients |
| Apex Emergency Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Bradley B Bailey MD and Roger B Schechter MD Inc | Emergency Medicine | Past | Accepting new patients |
| Grossmont Emergency Medical Group | Emergency Medicine | Past | Accepting new patients |
| Hemet Emergency Medical Group | Emergency Medicine | Past | Accepting new patients |
| Brent a. Butcher, MD, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
751 Medical Center Ct
#1182
Chula Vista, CA 91911
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
Interoperability endpoints
- bbutcher44635@enloedirect.org
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Chico, CA
- NPI 1578598058
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Brawley, CA
- NPI 1982851390
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Emergency Medicine Physician
- Hemet, CA
- NPI 1265711089
-
dba Restorative Wound Healing and Hyperbaric Medical Group
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- San Diego, CA
- NPI 1831349315
-
- Emergency Medicine Physician
- La Mesa, CA
- NPI 1861437501
-
- Emergency Medicine Physician
- Sun City, CA
- NPI 1265620090
-
- Emergency Medicine Physician
- Hemet, CA
- NPI 1871538579
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861413700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12170",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926852170",
"telephone_number": "877-818-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GROSSMONT CENTER DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423019",
"telephone_number": "619-644-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "BRENT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A67738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A677380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.