DR. BRIAN DAVID PORTER (NPI# 1154587434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154587434 |
| Entity Type | Individual |
| Full Name | DR. BRIAN DAVID PORTER |
| Credential | DDS |
| Practice Address |
5601 Odana Rd Madison WI 53719-1207 |
| Mailing Address |
1622 Station Park Dr Grayslake IL 60030-2720 |
| Practice Telephone | 6082223231 |
| Mailing Telephone | 4146283716 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2013-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6266-015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053558148 | Brian J. Porter | Chiropractor | 744 W William Cannon Dr, #3003, Austin, TX 78745-3181 | 2009-01-12 |
| 1144414095 | Brian Howard Porter | Physical Therapy Assistant | 3906 Crestmont Ave, Erie, PA 16508-3301 | 2007-09-04 |
| 1275750515 | Brian Oscar Porter | Internal Medicine | 12413 James Madison Ln, Glenn Dale, MD 20769-9168 | 2007-04-19 |
| 1841384278 | Brian N Porter | Emergency Medicine | 1214 Spring St. #1, Jeffersonville, IN 47130 | 2006-10-02 |
| 1609975358 | Brian L Porter | Dentist | 1109 E James St, Baytown, TX 77520-5821 | 2006-09-21 |
| 1710242201 | Brian Porter | Counselor | 944 Pacific Ave, Long Beach, CA 90813-4228 | 2012-07-10 |
| 1609173384 | Brian Porter | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2011-02-16 |
| 1316145642 | Brian Story Porter | Internal Medicine | 3 Alumni Dr Ste 101, Exeter, NH 03833-2122 | 2007-07-09 |
| 1891878823 | Brian Porter | Physician Assistant | 202 S Park St, Madison, WI 53715-1507 | 2006-10-23 |
| Street Address |
5601 ODANA RD |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477663045 | Affiliated Dentist Sc | Dentist | 5601 Odana Rd, Madison, WI 53719-1207 | 2006-08-30 |
| 1538697008 | Susan Elizabeth Dendinger | Dentist | 5601 Odana Rd, Madison, WI 53719-1207 | 2017-05-30 |
| 1497041651 | Margaret Anne Budde | Dentist | 5601 Odana Rd, Madison, WI 53719-1207 | 2011-06-24 |
| 1497079180 | John E. Busby | Dentist | 5601 Odana Rd, Madison, WI 53719-1207 | 2010-03-24 |
| 1558685297 | Mark Gustavson | Dentist | 5601 Odana Rd, Madison, WI 53719-1207 | 2010-03-24 |
| 1780840736 | Laura Marie Peles | Dentist | 5601 Odana Rd, Madison, WI 53719-1207 | 2008-07-30 |
| 1356400584 | Bryan L. Wierwill | Dentist | 5601 Odana Rd, Madison, WI 53719-1207 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1841817657 | Kimberly Nicole Lee | Dentist | 105 Broadmoor Dr, Madison, MS 39110-6651 | 2020-06-26 |
| 1831713213 | Scarlett La'ree Johnson | Dentist | 155 Millhouse Dr, Madison, MS 39110-6964 | 2020-06-02 |
| 1447899653 | Say Ahh Family and Cosmetic Dentistry LLC | Dentist | 7559 Highway 72 W Ste 105a105b, Madison, AL 35758-8811 | 2020-01-06 |
| 1982245395 | Treehouse Children's Dentistry, LLC | Dentist | 7559 Highway 72 W Ste 108, Madison, AL 35758-8816 | 2019-10-07 |
| 1205480423 | Abtin Iranmanesh | Dentist | 7564 Highway 72 W Ste C, Madison, AL 35758-9437 | 2019-07-25 |
| 1396238226 | Nathalie M Gomez-leon | Dentist | 7278 Highway 72 W Ste A, Madison, AL 35758-9551 | 2018-06-14 |
| 1164915518 | Lauren Faustmann | Dentist | 20 Hughes Rd # 104, Madison, AL 35758-2237 | 2018-06-11 |
| 1669963518 | Fahad Al-fadhli | Dentist | 109 Sycamore Rdg, Madison, MS 39110-7333 | 2018-05-27 |
| 1346752441 | Pignataro Family Dentistry, PC | Dentist | 7950 Highway 72 W Ste F, Madison, AL 35758-6420 | 2017-10-30 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.