Brian R Port, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101033236 Issued in VA

Practice address

12801 Iron Bridge Rd
Suite 200
Chester, VA 23831-1669

Phone

(804) 748-9071

Fax

(804) 768-8626

NPI assigned

Sep 1, 2005

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457

  Family Medicine, VA

  Medicare reassignment Care Compare group NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270

  Family Medicine, VA

  Medicare reassignment NPD
• Allendale County Hospital Board

  • Family Medicine Physician
  • Fairfax, SC
  • NPI 1730280561

  Family Medicine, SC

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Riverside Hospice and Homecare Services LLC

  • Home Health Agency
  • Warsaw, VA
  • NPI 1184223992
  Care Compare affiliation Name & address match
• Nine Palms 1, LLC

  • Home Health Agency
  • Williamsburg, VA
  • NPI 1518912377
  Care Compare affiliation
• Vcu Health Tappahannock Hospital

  • General Acute Care Hospital
  • Tappahannock, VA
  • NPI 1760580757

  Hospital

  Care Compare affiliation
• Virginia Commonwealth University Health System Authority

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1013091727

  Hospital

  Care Compare affiliation
• Virginia Commonwealth University Health System Authority

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1437175734

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Albany Medical College of Union University, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCV Associated Physicians 1,779 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Home Health Home health agency, Warsaw, VA, CCN 497025
• Brookside Home Health, an Amedisys Company Home health agency, Williamsburg, VA, CCN 497415
• Vcu Health Tappahannock Hospital Hospital, Tappahannock, VA, CCN 490084
• Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in VA, SC2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2021.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1336133602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 IRON BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311669",
            "telephone_number": "804-748-9071",
            "fax_number": "804-768-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 IRON BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311669",
            "telephone_number": "804-748-9071",
            "fax_number": "804-768-8626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2760 Godwin Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348501",
            "country_code": "US",
            "telephone_number": "757-983-8650",
            "fax_number": "757-983-8673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORT",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101-033236",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101033236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "000010674",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "56520",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "032845",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pillpack LLC
• Kimberly Plummer
• Pmhealth Solutions, PLLC
• Mark Mumford Polanshek, M.D.
• Zoe Politte
• Positive Life Behavioral Health Services
• Positive Pathways Family Services
• Douglas C. Powell, D.O.
• Pregnancy Help Center of Chesterfield
• Premise Health of Virginia Medical PC

• All providers in Chester, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.