BRENDA ELAINE PORTER M.D. NPI 1346256583

NPI Information

NPI: 1346256583
Provider Name: BRENDA ELAINE PORTER, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Specialization: Neurology with Special Qualifications in Child Neurology
Entity Type: Individual
PECOS Registration: Yes
Address: 725 WELCH RD
PALO ALTO, CA
ZIP 94304
Phone: (650) 497-8000

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NPI Details

Brenda Elaine Porter, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Palo Alto, CA with 30 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Brenda Elaine Porter, M.D. NPI is 1346256583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

725 WELCH RD
PALO ALTO, CA
ZIP 94304-601
Phone: (650) 497-8000

The NPI 1346256583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 11/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084E0001X	Psychiatry & Neurology	Epilepsy	G89267	CALIFORNIA	No
2	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	G89267	CALIFORNIA	No
3	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	G89267	CALIFORNIA	Yes
4	208000000X	Pediatrics		G89267	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8904502	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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