Active NPI
George Bernard Del Porto, M.D.
- Urology Physician
- Charleston, SC
National Provider Identifier
1689673881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 6467
- Practice address
- 1470 Tobias Gadson Blvd
Suite 201
Charleston, SC 29407-4707 - Phone
- (843) 556-7060
- Fax
- (843) 556-9960
- NPI assigned
- Jul 19, 2005
- Last updated
- Aug 27, 2012
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 6467 | SC | Primary |
Addresses
Primary practice location
1470 Tobias Gadson Blvd
Suite 201
Charleston, SC 29407-4707
Mailing address
2687 Lake Park Dr
N Charleston, SC 29406-9100
Phone (843) 572-0097
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6467 | SC | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1689673881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2687 LAKE PARK DR",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069100",
"telephone_number": "843-572-0097",
"fax_number": "843-725-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 TOBIAS GADSON BLVD",
"address_2": "SUITE 201",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074707",
"telephone_number": "843-556-7060",
"fax_number": "843-556-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL PORTO",
"first_name": "GEORGE",
"middle_name": "BERNARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "SC",
"license": "6467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.