Physician Compare National (NPI:1366909400)

HEALTHCARE PROVIDER: HERB WILLIAM BUTZBACH IV DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366909400
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345581260
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190403000409
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BUTZBACH
	Individual professional last name
Provider First Name	HERB
	Individual professional first name
Provider Middle Name	WILLIAM
	Individual professional middle name
Provider Name Suffix Text	IV
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	463 S THOMPSON AVE
	Group Practice or individual's line 1 address
City	EXCELSIOR SPRINGS
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	640242133
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y