Active NPI
Thomas Richard Butler, PAC
- Physician Assistant
- Ft Bragg, NC
National Provider Identifier
1861481145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101534
- Practice address
- Womack Army Medical Center
Ft Bragg, NC 28307-2639 - Phone
- (910) 907-8962
- Fax
- (910) 907-8087
- NPI assigned
- Oct 19, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101534 | NC | Primary |
Addresses
Primary practice location
Womack Army Medical Center
Ft Bragg, NC 28307-2639
Mailing address
PO Box 72639
Fort Bragg, NC 28307-2639
Phone (910) 907-8962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R40054 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101534 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861481145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72639",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283072639",
"telephone_number": "910-907-8962",
"fax_number": "910-907-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WOMACK ARMY MEDICAL CENTER",
"city": "FT BRAGG",
"state": "NC",
"postal_code": "283072639",
"telephone_number": "910-907-8962",
"fax_number": "910-907-8087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "THOMAS",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R40054",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.