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Deactivated NPI 1861455321 Deactivated / Inactive NPI Male Practitioner

Dr. Brooks A Butler , MD

Surgery • St Paul, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brooks Butler has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 07, 2006
NPI Deactivation Date July 17, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Brooks Butler, MD was a registered Surgery practicing in St Paul, MN. Throughout an active medical career spanning 19 years, Dr. Butler provided care at the practice location at 401 PHALEN BLVD until profile deactivation on 2025-07-17.

Practice Location & Contact Primary Location

Practice Address

401 Phalen Blvd
Mail Stop 41104a

St Paul, MN 551015302

Telephone 6512547980
Fax 6512547969
Associated Practice Facility / Clinic
🏢 Group Health Plan Inc Facility NPI 1932269867

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in St Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
11 Specialists

Practicing in St Paul, MN (770 Statewide)

Telehealth Adoption Rate
27.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 16927

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Dr. Brian Myer , MD

Surgery - Trauma Surgery

NPI 1003115783

Doctor of Medicine (M.D.)

NPI 1013178300

Doctor of Medicine (M.D.)

Samantha Delacey

Physician Assistant

NPI 1013663012
Kelsey Reif , PA-C

Physician Assistant

NPI 1033662507

Physician Assistant (Certified)

NPI 1083930515

Doctor of Medicine (M.D.)

Dakota Disher , PA

Physician Assistant

NPI 1124772264

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2025

Record deactivated on July 17, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 401 PHALEN BLVD, MAIL STOP 41104A, ST PAUL, MN 551015302 (Tel: 6512547980)

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Updated Business Mailing Address July 08, 2007

Registered at 8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 554251672 (Tel: 9528835790)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BROOKS BUTLER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #16927 in MN)

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Initial NPI Registration & Enumeration April 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861455321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2006
Last Update: July 08, 2007
Deactivation Date: July 17, 2025

Mailing Address

8100 34th Ave S, 21110q

Bloomington, MN 554251672

Phone: 9528835790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.