Organization Active NPI

Brent a. Butcher, MD, Inc.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Brawley, CA
National Provider Identifier
1982851390
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
A67738 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brent A. Butcher, MDNPI 1861413700
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.