Provider Type Icon

MR. GRANT CHARLTON BUTLER N.P. NPI 1437525102


NPI Information

NPI: 1437525102
Provider Name: MR. GRANT CHARLTON BUTLER, N.P.
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: PRATT MEDICAL GROUP INC

PECOS Registration: Yes

Address:
45 DIMOCK ST
ROXBURY, MA
ZIP 02119
Phone: (617) 442-8800
Get Directions

MR. Grant Charlton Butler, N.P. is a primary care nurse practitioner in Roxbury, MA with 17 years of experience. MR. Grant Charlton Butler, N.P. NPI is 1437525102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

45 DIMOCK ST
ROXBURY, MA
ZIP 02119-208
Phone: (617) 442-8800

The NPI 1437525102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2015 and was last updated on 1/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthRN2263964MASSACHUSETTSNo
2363LG0600XNurse PractitionerGerontologyRN2263964MASSACHUSETTSNo
3363LP2300XNurse PractitionerPrimary CareRN2263964MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.