Beaverton Family Medicine LLC
NPI 1578240511ActiveOrganization· Nurse Practitioner, Family· Beaverton, AL
Nurse Practitioner, Family in Beaverton, Alabama, registered in NPPES in June 2023. The authorized official on file is Michael Ethan Butler, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578240511 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2023 |
| Last updated in NPPES | Jul 14, 2023 |
| Certified by provider | Jul 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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