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IAN BUTTERBRODT
NPI 1467216358
General Practice in Tacoma, WA

Active since February 12, 2024PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2462 Get Directions Write a Review

NPPES record last updated: December 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ian Butterbrodt NPPES

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

IAN BUTTERBRODT (NPI 1467216358) is an individual general practice provider in Tacoma, Washington, licensed in Ohio (34.018232) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467216358
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameIAN BUTTERBRODT
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001
Phone(253) 968-2462
Sole ProprietorNo
Enumeration DateFebruary 12, 2024
Last NPPES UpdateDecember 14, 2025
NPPES CertifiedDecember 14, 2025
✔ NPI 1467216358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OH · 34.018232
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9040 JACKSON AVE, Tacoma, WA 98431
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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)

Ian Butterbrodt 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.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Ian Butterbrodt's NPI number?

The NPI number for Ian Butterbrodt is 1467216358. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Ian Butterbrodt located?

Ian Butterbrodt practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2462.

What is Ian Butterbrodt's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ian Butterbrodt enrolled in Medicare?

Yes. Ian Butterbrodt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Butterbrodt was last updated on December 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.