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DOMINIQUE BENJAMIN BUTLER
NPI 1306549365
Student in an Organized Health Care Education/Training Program in Brandon, FL

Active since March 27, 2023PECOS Enrolled
119 OAKFIELD DR, BRANDON, FL 33511(813) 916-2346 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Benjamin Butler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE BENJAMIN BUTLER (NPI 1306549365) is an individual student in an organized health care education/training program in Brandon, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306549365
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDOMINIQUE BENJAMIN BUTLER
Location Address119 OAKFIELD DRBrandon, FL 33511-5779
Mailing Address119 Oakfield DrBrandon, FL 33511-5779
Phone(813) 916-2346
Sole ProprietorYes
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 26, 2023
✔ NPI 1306549365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
119 OAKFIELD DR, Brandon, FL 33511
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Benjamin Butler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYED MUSTAFA ZAIDI
Internal Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (407) 788-1906
ROBERT MILLER AA
Anesthesiologist Assistant
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 658-5551
DR. SHAWN BLOUIN DNP, ARNP, AGACNP-BC
Nurse Practitioner
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 681-5551
AMANDA SUE ROGERS TURNER DO
Student in an Organized Health Care Education/Training Program
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 916-2358
DR. THOMAS STEVEN LEONARD MD
Emergency Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 681-5551
MR. ALBERTO RIOS PA-C
Physician Assistant (Medical)
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (800) 424-3672
DR. MATTHEW WILLIAM CARMAN M.D.
Emergency Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 681-5551
RICKI ANNE BROWN-FORESTIERE MD
Emergency Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 916-2342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Butler's NPI number?

The NPI number for Dominique Butler is 1306549365. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Dominique Butler located?

Dominique Butler practices at 119 Oakfield Dr, Brandon, FL 33511. The listed phone number is (813) 916-2346.

What is Dominique Butler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dominique Butler enrolled in Medicare?

Yes. Dominique Butler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Butler was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.