Individual provider Active NPI

Bruce W Porterfield, M.D.

  • Medical Oncology Physician
  • Panama City, FL
National Provider Identifier
1962451377
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME166548 Issued in FL
Practice address
2100 State Ave
Panama City, FL 32405-4587
Phone
(850) 763-0036
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 27252 AZ
Medical Oncology Physician 207RX0202X ME166548 FL Primary

Addresses

Primary practice location

2100 State Ave
Panama City, FL 32405-4587

Mailing address

2100 State Ave
Panama City, FL 32405-4587
Phone (520) 591-4784

Other practice location 1

514 E Whitehouse Canyon Rd
Green Valley, AZ 85614-0538
Phone (520) 689-7030

Other practice location 2

1315 S La Canada Dr
Green Valley, AZ 85614-1915
Phone (520) 625-6600

Other practice location 3

121 West Esperanza Blvd
181
Green Valley, AZ 85614
Phone (520) 689-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240229003096 FL Practitioner - Medical Oncology 7416906219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Chicago, Pritzker School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Oncology Center PLGroup PAC ID 6901950856, 23 clinicians

Practice addresses (Care Compare)

2100 State Ave
Panama City, FL 32405-4587
Phone (850) 763-0036

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Oncology Center PL Hematology & Oncology CurrentSince Feb 1, 2024 Accepting new patients
Ocala Oncology Center, PL CurrentSince Feb 1, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

13940 N US Highway 441
Ste 203
Lady Lake, FL 32159
Phone (352) 259-8940

2100 State Ave
Panama City, FL 32405
Phone (850) 763-0036

Interoperability endpoints

  • Direct secure messaging: bruce.porterfield@fca.ikm.direct-ci.com

Organizations & group practices 3

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 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1962451377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054587",
            "telephone_number": "520-591-4784",
            "fax_number": "520-395-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054587",
            "telephone_number": "850-763-0036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 E Whitehouse Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856140538",
            "country_code": "US",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 S La Canada Dr",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856141915",
            "country_code": "US",
            "telephone_number": "520-625-6600",
            "fax_number": "520-625-8467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 West Esperanza Blvd",
            "address_2": "181",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "85614",
            "country_code": "US",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTERFIELD",
        "first_name": "BRUCE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "27252",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME166548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.