Active NPI
Barry Portner, M.D.
- Obstetrics & Gynecology Physician
- Lamar, CO
National Provider Identifier
1326074584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 40279
- Practice address
- 201 Kendall Dr
Lamar, CO 81052-3939 - Phone
- (719) 336-0261
- Fax
- (719) 336-0265
- NPI assigned
- Jun 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 40279 | CO | Primary |
Addresses
Primary practice location
201 Kendall Dr
Lamar, CO 81052-3939
Mailing address
201 Kendall Dr
Lamar, CO 81052-3939
Phone (719) 336-0261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37931032 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40279 | CO | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1326074584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 KENDALL DR",
"city": "LAMAR",
"state": "CO",
"postal_code": "810523939",
"telephone_number": "719-336-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 KENDALL DR",
"city": "LAMAR",
"state": "CO",
"postal_code": "810523939",
"telephone_number": "719-336-0261",
"fax_number": "719-336-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTNER",
"first_name": "BARRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "40279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37931032",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lamar, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.