Active NPI
Brett Porter, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Murray, UT
National Provider Identifier
1295093995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 9404247-1205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125062122 | IL | MD | Internal 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.