BRANDON PORTER (NPI# 1770910531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770910531 |
| Entity Type | Individual |
| Full Name | BRANDON PORTER |
| Credential | HIS |
| Practice Address |
930 Mar Walt Drive Suite A Fort Walton Beach FL 32547 |
| Practice Telephone | 8502440406 |
| Mailing Telephone | 8502440406 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | AS4964 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HEARING AID SPECIALIST LICENSE NUMBER | AS44964 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720516438 | Brandon Kyle Porter | Physician Assistant | 8700 Gracie Allen Dr, Los Angeles, CA 90048-3811 | 2017-05-24 |
| 1619589686 | Brandon Emil Porter | Pharmacist | 5340 Soutel Dr, Jacksonville, FL 32219-3478 | 2020-08-20 |
| 1952511529 | Brandon B Porter | Internal Medicine | 315 S Manning Blvd, Albany, NY 12208-1707 | 2007-05-23 |
| 1568591675 | Brandon Miles Porter | Case Manager/Care Coordinator | 5121 Stockdale Hwy, Ste 275, Bakersfield, CA 93309-2656 | 2007-03-05 |
| Street Address |
930 MAR WALT DRIVE SUITE A |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457493611 | Mathew Mccune | Anesthesiology | 930 Mar Walt Drive, C, Fort Walton Beach, FL 32547-6708 | 2007-02-13 |
| 1154953743 | John Loftis | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547-6706 | 2020-02-11 |
| 1306301528 | Jon Calvin Cox | Pain Medicine | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2019-02-01 |
| 1700398070 | Dynamic Pain and Wellness Physical Therapy, LLC | Physical Therapist | 930 Mar Walt Drive, Fort Walton Beach, FL 32547-6706 | 2017-10-26 |
| 1841693504 | Rachel Marie Samuelson | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2014-10-08 |
| 1013284173 | Celeste Ann Macdonald | Nurse Practitioner | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547-6706 | 2011-11-17 |
| 1366771313 | Amber Maurine Ramsey | Nurse Practitioner | 930 Mar Walt Drive, Fort Walton Beach, FL 32547 | 2009-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073639472 | Akrmp Hearing Group, Inc. | Hearing Instrument Specialist | 12 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1642 | 2007-03-21 |
| 1508406042 | Beltone Nwf LLC | Hearing Instrument Specialist | 22 Beal Pkwy Sw, Fort Walton Beach, FL 32548-5388 | 2020-01-13 |
| 1003455908 | Yordon & Sons LLC | Hearing Instrument Specialist | 22 Beal Pkwy Sw, Fort Walton Beach, FL 32548-5388 | 2019-12-26 |
| 1770043366 | Margaret Lummus | Hearing Instrument Specialist | 122 Eglin Pkwy Ne, Fort Walton Beach, FL 32548-4917 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740521 | Gary Mcfadyen | Hearing Instrument Specialist | 395 E. Point Washington, Santa Rosa Beach, FL 32459 | 2020-11-04 |
| 1447859822 | Ask Mobile Hearing Aid Specialists | Hearing Instrument Specialist | 17035 Gulf Blvd, North Redington Beach, FL 33708-1496 | 2020-10-18 |
| 1073111480 | Matthew Joseph Jones | Hearing Instrument Specialist | 2536 Enterprise Rd Ste 20, Orange City, FL 32763-7939 | 2020-10-16 |
| 1831706803 | Iris Jeannette Lazo | Hearing Instrument Specialist | 1008 Willa Springs Dr Ste 110, Winter Springs, FL 32708-5205 | 2020-09-24 |
| 1679183628 | Krysta Siliris | Hearing Instrument Specialist | 3146 Little Rd, Trinity, FL 34655-1864 | 2020-08-05 |
| 1063020915 | April Christine Gonzalez | Hearing Instrument Specialist | 1500 Beach Blvd Ste 314, Jacksonville, FL 32250-2621 | 2020-07-16 |
| 1669097531 | Stephanie Zang | Hearing Instrument Specialist | 290 Citrus Tower Blvd Ste 105, Clermont, FL 34711-2783 | 2020-06-16 |
| 1235758863 | Madison G Gilley | Hearing Instrument Specialist | 1501 N Us Highway 441 Ste 1402, The Villages, FL 32159-6818 | 2020-04-14 |
| 1972139343 | Mildred Bernice Mcardle | Hearing Instrument Specialist | 1515 Us Highway 1 Ste 104, Sebastian, FL 32958-1612 | 2020-03-18 |
| 1346876109 | Kristen O'konski | Hearing Instrument Specialist | 3267 Garden St, Titusville, FL 32796-3004 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on BRANDON PORTER.
| 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.