Individual provider Active NPI

Brad Porritt, HIS

  • Hearing Instrument Specialist
  • Bradenton, FL
National Provider Identifier
1477237659
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AST1199 Issued in FL
Practice address
6408 Cortez Rd W
Bradenton, FL 34210-2605
Phone
(941) 794-3505
Fax
(941) 794-8121
NPI assigned
Jun 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X AST1199 FL Primary

Addresses

Primary practice location

6408 Cortez Rd W
Bradenton, FL 34210-2605

Mailing address

6408 Cortez Rd W
Bradenton, FL 34210-2605
Phone (941) 794-3505

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AST1199FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1477237659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102605",
            "telephone_number": "941-794-3505",
            "fax_number": "941-794-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102605",
            "telephone_number": "941-794-3505",
            "fax_number": "941-794-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRITT",
        "first_name": "BRAD",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AST1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.