Brackin Porter Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BRACKIN PORTER FAMILY MEDICINE

Practice address

1080 Polaris Pkwy
Suite 120
Columbus, OH 43240-6035

Phone

(614) 880-9333

Fax

(614) 880-9331

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Jill Porter, D.O.

Title

President

Phone

(614) 880-9333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1780722660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 POLARIS PKWY",
            "address_2": "SUITE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406035",
            "telephone_number": "614-880-9333",
            "fax_number": "614-880-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 POLARIS PKWY",
            "address_2": "SUITE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406035",
            "telephone_number": "614-880-9333",
            "fax_number": "614-880-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACKIN PORTER FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-880-9333",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treyvon Brack
• Karen Brackbill, APRN-CNM
• Tara Lynn Bracken, PHARMD
• Kyle Brackenbury
• Cari C. Brackett, PHARM.D.
• Julianne Brackin, DO
• Katelyn Marie Brackney, DO
• Georgie Bracy, LPCC
• Miranda E. Bradach, APRN-CNP
• Lauren Brademeyer

• Primary Care Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.