William Bradford Butler, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charleston, South Carolina. His current practice location is
169 Ashley Ave Rm 202, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 792-7179.
William Bradford Butler is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740855691.
Physician's Profile
Full Name | William Bradford Butler |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 169 Ashley Ave Rm 202, Charleston, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740855691
- Provider Enumeration Date: 05/24/2021
- Last Update Date: 07/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618346180
- Enrollment ID: I20221206002002
Medical Identifiers
Medical identifiers for William Bradford Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740855691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | LL88061 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Bradford Butler is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
William Bradford Butler, MD 96 Jonathan Lucas St # 323, Charleston, SC 29425-3230 Ph: (843) 792-7179 | William Bradford Butler, MD 169 Ashley Ave Rm 202, Charleston, SC 29425-2789 Ph: (843) 792-7179 |
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