Tyrick Bruce Porter

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3084 Westfork Dr Ste C
Baton Rouge, LA 70816-2254

Phone

(225) 960-1813

NPI assigned

May 1, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1235928706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10852 GREENCREST DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708111830",
            "telephone_number": "225-521-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 WESTFORK DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162254",
            "telephone_number": "225-960-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TYRICK",
        "middle_name": "BRUCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Hali Porter, PA-C
• Joseph R Porter, DDS
• Kisha Porter, BSN, RN
• Lakoya Neosha Porter, LOTR
• Thomas Porter
• John W Portwood Jr., DDS
• Sabrina Portwood, DDS
• Ethan Posey
• Positive Refelections Community Health Services
• Mark Peal Posner, M.D.

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.