RICHARD BRIAN BUTORAC IDC
NPI 1669427290
Military Health Care Provider - Independent Duty Corpsman in Fort Worth, TX

Active since May 23, 2006
1711 DOOLITTLE AVE, FORT WORTH, TX 76179(904) 588-2906 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Brian Butorac Idc NPPES

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

RICHARD BRIAN BUTORAC IDC (NPI 1669427290) is an individual independent duty corpsman provider in Fort Worth, Texas and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1669427290
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameRICHARD BRIAN BUTORACCredential: IDC
Location Address1711 DOOLITTLE AVEFort Worth, TX 76179
Mailing Address5113 Bayridge CtFort Worth, TX 76179-4255 · (904) 588-2906
Sole ProprietorYes
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1669427290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
1711 DOOLITTLE AVE, Fort Worth, TX 76179

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 Richard Butorac's NPI number?

The NPI number for Richard Butorac is 1669427290. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Richard Butorac located?

Richard Butorac practices at 1711 Doolittle Ave, Fort Worth, TX 76179. The listed phone number is (904) 588-2906.

What is Richard Butorac's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Richard Butorac was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.