MRS. BRANDY KAY PORTER ND NPI 1578532040

NPI Information

  • NPI: 1578532040
  • Provider Name: MRS. BRANDY KAY PORTER, ND
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 302 W FARIS RD
    GREENVILLE, SC
    ZIP 29605
  • Phone: (864) 473-9406

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NPI Details

MRS. Brandy Kay Porter, ND is a family nurse practitioner in Greenville, SC with 22 years of experience. MRS. Brandy Kay Porter, ND NPI is 1578532040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

302 W FARIS RD
GREENVILLE, SC
ZIP 29605-005
Phone: (864) 473-9406

The NPI 1578532040 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)

The enumeration date for this NPI number is 3/16/2006 and was last updated on 8/21/2015.

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
1363LA2100XNurse PractitionerAcute CareAPN2163SOUTH CAROLINANo
2363LG0600XNurse PractitionerGerontologyAPN2163SOUTH CAROLINANo
3363LF0000XNurse PractitionerFamilyAPN2163SOUTH CAROLINAYes

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
15004520OTHERNORTH CAROLINANC APRN
2AA07755770MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
3Q36653MEDICARE UPINSOUTH CAROLINA
4AA07759090MEDICARE UPINSOUTH CAROLINA

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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