NPIMap

Organization Active NPI

John K.L. Porter, D.O., PC

  • Internal Medicine Physician
  • Montgomery, AL
National Provider Identifier
1083096747
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1488 Issued in AL
Legal business name
JOHN K.L. PORTER, D.O., PC
Practice address
4749 Berry Blvd
Montgomery, AL 36106-3079
Phone
(334) 579-3498
Fax
(334) 888-8611
NPI assigned
Jun 18, 2015
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John K Porter, D.O.NPI 1205182508
Title
D.O./Owner
Phone
(334) 265-8455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 1488 AL Primary

Addresses

Primary practice location

4749 Berry Blvd
Montgomery, AL 36106-3079

Mailing address

4749 Berry Blvd
Montgomery, AL 36106-3079
Phone (334) 579-3498

Other practice location 1

4749 Berry Blvd
Montgomery, AL 36106-3079
Phone (334) 579-3498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150824000929 AL Part B Supplier - Clinic/Group Practice 3971818758 Receives reassigned benefits from 5 practitioners
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory

Locations

1758 Park Pl
Ste 100B
Montgomery, AL 36106
Phone (334) 265-8455

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1083096747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 BERRY BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063079",
            "telephone_number": "334-579-3498",
            "fax_number": "334-888-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 BERRY BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063079",
            "telephone_number": "334-579-3498",
            "fax_number": "334-888-8611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4749 Berry Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361063079",
            "country_code": "US",
            "telephone_number": "334-579-3498",
            "fax_number": "334-888-8611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN K.L. PORTER, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "D.O./OWNER",
        "authorized_official_telephone_number": "334-265-8455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "1488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.