Organization Active NPI

Bruce a Porter MD PS

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1417097585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BRUCE A PORTER MD PS
Practice address
1001 Boylston Ave
Seattle, WA 98104-1389
Phone
(206) 329-6767
Fax
(206) 323-6989
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce Arnold Porter, M.D., F.A.C.R.
Title
Medical Director
Phone
(206) 329-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1001 Boylston Ave
Seattle, WA 98104-1389

Mailing address

1001 Boylston Ave
Seattle, WA 98104-1389
Phone (206) 329-6767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417097585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BOYLSTON AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041389",
            "telephone_number": "206-329-6767",
            "fax_number": "206-323-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BOYLSTON AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041389",
            "telephone_number": "206-329-6767",
            "fax_number": "206-323-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A PORTER MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-329-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.R."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.