NPIMap

Individual provider Active NPI

Guilherme Bastos Ferreira Porto, M.D.

  • Neurological Surgery Physician
  • Charleston, SC
National Provider Identifier
1821447731
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
LL39659 Issued in SC
Practice address
2145 Henry Tecklenburg Dr Ste 220
Charleston, SC 29414-5894
Phone
(843) 723-8823
Fax
(843) 606-8059
NPI assigned
Jun 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X LL39659 SC Primary

Addresses

Primary practice location

2145 Henry Tecklenburg Dr Ste 220
Charleston, SC 29414-5894

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810004439 SC Practitioner - Neurosurgery 1850671280 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Medical University of South Carolina College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2145 Henry Tecklenburg Dr
Suite 220
Charleston, SC 29414-5894
Phone (843) 723-8823

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion140
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Jul 1, 2023 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Roper Saint Francis Physicians Network Neurological Surgery CurrentSince Aug 12, 2024 Accepting new patients
Roper St. Francis Specialty Physicians CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 12, 2024 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

169 Ashley Ave
Rm 202
Charleston, SC 29425
Phone (843) 792-0192

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2145 Henry Tecklenburg Dr
Ste 220
Charleston, SC 29414
Phone (843) 958-2555

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

300 Callen Blvd
Ste 200
Summerville, SC 29486
Phone (843) 724-8823

Interoperability endpoints

  • Direct secure messaging: gporto2649177@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1821447731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 HENRY TECKLENBURG DR STE 220",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145894",
            "telephone_number": "843-723-8823",
            "fax_number": "843-606-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTO",
        "first_name": "GUILHERME",
        "middle_name": "BASTOS FERREIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "LL39659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.