Active NPI
Bruce Arnold Porter, M.D., F.A.C.R.
- Diagnostic Radiology Physician
- Seattle, WA
National Provider Identifier
1649310798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00021504
- Practice address
- 1001 Boylston Ave
Seattle, WA 98104-1389 - Phone
- (206) 329-6767
- Fax
- (206) 323-6989
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00021504 | WA | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD00021504 | Other | WA | WASHINGTON STATE LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1649310798",
"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": {
"last_name": "PORTER",
"first_name": "BRUCE",
"middle_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.R.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00021504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE LICENSE",
"identifier": "MD00021504",
"state": "WA"
}
],
"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 Mar 7, 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.