Active NPI
Bernard M Portner, M.D.
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Honolulu, HI
National Provider Identifier
1699820274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- MD-4132
- Practice address
- 1132 Bishop St
Suite #1110
Honolulu, HI 96813-2807 - Phone
- (808) 596-7300
- Fax
- (808) 596-7305
- NPI assigned
- Jan 24, 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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | MD-4132 | HI | Primary |
Addresses
Primary practice location
1132 Bishop St
Suite #1110
Honolulu, HI 96813-2807
Mailing address
8513 NE Hazel Dell Ave
Suite #102
Vancouver, WA 98665-8068
Phone (800) 594-8043
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott J. Miscovich MD, LLC | Past | Accepting new patients | |
| Elias Ayoub MD a Professional Corporation | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1699820274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8513 NE HAZEL DELL AVE",
"address_2": "SUITE #102",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986658068",
"telephone_number": "800-594-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 BISHOP ST",
"address_2": "SUITE #1110",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132807",
"telephone_number": "808-596-7300",
"fax_number": "808-596-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTNER",
"first_name": "BERNARD",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "HI",
"license": "MD-4132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.