Active NPI
Butler Neurology PC
- Neurology Physician
- Memphis, TN
National Provider Identifier
1881775799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0000027752
- Legal business name
- BUTLER NEUROLOGY PC
- Practice address
- 1264 Wesley Drive
Suite 209
Memphis, TN 38116 - Phone
- (901) 396-4958
- Fax
- (901) 396-7657
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darel Anthony Butler, MD
- Title
- President Ceo
- Phone
- (901) 396-4958
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0000027752 | TN | Primary |
Addresses
Primary practice location
1264 Wesley Drive
Suite 209
Memphis, TN 38116
Mailing address
1264 Wesley Drive
Suite 209
Memphis, TN 38116
Phone (901) 396-4958
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13422901 | Other | TN | MEDICAID |
| 4075715 | Other | TN | BCBS |
| P00093158 | Other | TN | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1264 Wesley Dr
Ste 209
Memphis, TN 38116
Phone (901) 347-3991
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Pasadena, TX
- NPI 1154403426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881775799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1264 WESLEY DRIVE",
"address_2": "SUITE 209",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38116",
"telephone_number": "901-396-4958",
"fax_number": "901-396-7657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 WESLEY DRIVE",
"address_2": "SUITE 209",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38116",
"telephone_number": "901-396-4958",
"fax_number": "901-396-7657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUTLER NEUROLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "DAREL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "901-396-4958",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "0000027752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "13422901",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4075715",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00093158",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.