Individual provider Active NPI

Brian David Porvin, DO

  • Pulmonary Disease Physician
  • Phoenix, AZ
National Provider Identifier
1861529174
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4830 Issued in AZ
Practice address
2550 W Union Hills Dr Ste 107
Phoenix, AZ 85027-5163
Phone
(602) 443-4068
Fax
(623) 434-8310
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4830 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4830 AZ
Pulmonary Disease Physician 207RP1001X 4830 AZ Primary

Addresses

Primary practice location

2550 W Union Hills Dr Ste 107
Phoenix, AZ 85027-5163

Mailing address

5151 E Broadway Rd Ste 107
Mesa, AZ 85206-1346
Phone (480) 290-7000

Other identifiers 1

IdentifierTypeStateIssuer
381651MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081118000511 AZ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7113087321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Nova Southeastern College of Osteo Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Associates PAGroup PAC ID 6406842558, 16 clinicians

Practice addresses (Care Compare)

2550 W Union Hills Dr
Suite 390
Phoenix, AZ 85027-5197
Phone (602) 443-4068

3811 E Bell Rd
Suite 107
Phoenix, AZ 85032-2158
Phone (602) 340-1689

5151 E Broadway Rd
Suite 107
Mesa, AZ 85206-1346
Phone (480) 290-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates, PA Pulmonary Disease CurrentSince Dec 1, 2016 Accepting new patients
Central Arizona Gastroenterology PC PastSince Mar 30, 2025 Accepting new patients

Locations

5151 E Broadway Rd
Ste 107
Mesa, AZ 85206
Phone (480) 290-7000

3811 E Bell Rd
Ste 107
Phoenix, AZ 85032
Phone (602) 340-1689

19841 N 27th Ave
Ste 102
Phoenix, AZ 85027
Phone (602) 258-4951

2550 W Union Hills Dr
Ste 390
Phoenix, AZ 85027
Phone (602) 443-4068

1112 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 258-4951

Interoperability endpoints

  • Direct secure messaging: brian.porvin.1@19484.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19484/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Quality Hospice Care, Inc.Prescott Valley, AZ, CCN 031609 Hospice 5% Or Greater Direct Ownership Interest (5%) Jan 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1861529174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061346",
            "telephone_number": "480-290-7000",
            "fax_number": "602-254-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275163",
            "telephone_number": "602-443-4068",
            "fax_number": "623-434-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORVIN",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4830",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "4830",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "4830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381651",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.