Individual provider Active NPI

Brett Porter, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Murray, UT
National Provider Identifier
1295093995
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
9404247-1205 Issued in UT
Practice address
181 E Medical Tower Dr
Murray, UT 84107-4872
Phone
(801) 314-4544
NPI assigned
May 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 9404247-1205 UT Primary
Internal Medicine Physician 207R00000X 9404247-1205 UT
Internal Medicine Physician 207R00000X 125062122 IL

Addresses

Primary practice location

181 E Medical Tower Dr
Murray, UT 84107-4872

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

2160 S. First Avenue
Loyola University Medical Center
Maywood, IL 60153-0000
Phone (708) 216-8757

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://teams.microsoft.com/l/message/48:notes/1769783527119?context=%7B%22contextType%22%3A%22chat%22%2C%22oid%22%3A%228%3Aorgid%3A7ce9d085-730e-4f72-8f6d-b9b1d66b70a2%22%7D Other Bluemark LLC / Office Ally
Direct Messaging Address brett.porter@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125062122ILMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1295093995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E MEDICAL TOWER DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074872",
            "telephone_number": "801-314-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S. First Avenue",
            "address_2": "Loyola University Medical Center",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601530000",
            "country_code": "US",
            "telephone_number": "708-216-8757",
            "fax_number": "708-216-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "UT",
            "license": "9404247-1205",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "9404247-1205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125062122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://teams.microsoft.com/l/message/48:notes/1769783527119?context=%7B%22contextType%22%3A%22chat%22%2C%22oid%22%3A%228%3Aorgid%3A7ce9d085-730e-4f72-8f6d-b9b1d66b70a2%22%7D",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brett.porter@direct.imail.org",
            "affiliation": "N",
            "address_1": "181 E Medical Tower Dr",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841074872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.