Active NPI
Chad Michael Porter, DC
- Chiropractor
- Bridgeport, WV
National Provider Identifier
1477082048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1013
- Practice address
- 529 E Main St
Bridgeport, WV 26330-1824 - Phone
- (304) 842-4202
- NPI assigned
- Jun 7, 2017
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1013 | WV | Primary |
Addresses
Primary practice location
529 E Main St
Bridgeport, WV 26330-1824
Mailing address
30 Westwood Cir
Washington, WV 26181-3558
Phone (304) 482-8934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
138 Jim St
Morgantown, WV 26501-5302
Phone (304) 244-5575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mike Mason Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Coliseum Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
529 E Main St
Bridgeport, WV 26330
Phone (304) 376-9792
138 Jim St
Morgantown, WV 26501
Phone (304) 244-5575
Organizations & group practices 2
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.
-
- Chiropractor
- Morgantown, WV
- NPI 1447826250
-
- Chiropractor
- Bridgeport, WV
- NPI 1255388971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496793600000",
"number": "1477082048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WESTWOOD CIR",
"city": "WASHINGTON",
"state": "WV",
"postal_code": "261813558",
"telephone_number": "304-482-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 E MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301824",
"telephone_number": "304-842-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2017-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "1013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.