Active NPI
Brent a. Butcher, MD, Inc.
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Brawley, CA
National Provider Identifier
1982851390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- A67738
- Legal business name
- BRENT A. BUTCHER, MD, INC.
- Practice address
- 207 W Legion Rd
Brawley, CA 92227-7780 - Phone
- (760) 351-4848
- Fax
- (760) 351-4849
- NPI assigned
- Aug 27, 2008
- Last updated
- Oct 21, 2008
- 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
- Brent A. Butcher, MD
- Title
- Owner/President
- Phone
- (619) 990-9317
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 |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | A67738 | CA | Primary |
Addresses
Primary practice location
207 W Legion Rd
Brawley, CA 92227-7780
Mailing address
3639 Midway Dr
Suite B, #412
San Diego, CA 92110-5254
Phone (619) 258-6200
National Provider Directory
National Provider DirectoryLocations
3639 Midway Dr
Ste B
San Diego, CA 92110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- La Mesa, CA
- NPI 1861413700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1982851390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3639 MIDWAY DR",
"address_2": "SUITE B, #412",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105254",
"telephone_number": "619-258-6200",
"fax_number": "619-258-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W LEGION RD",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277780",
"telephone_number": "760-351-4848",
"fax_number": "760-351-4849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENT A. BUTCHER, MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-27",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "BUTCHER",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "619-990-9317",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "CA",
"license": "A67738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.