MR. BRADLEY SCOTT PORTER (NPI# 1013457654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013457654 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY SCOTT PORTER |
| Credential | RN |
| Practice Address |
170 Franklin St Suite 205 Buffalo NY 14202-2414 |
| Mailing Address |
66 Orchard Ave Upper Apt West Seneca NY 14224-1417 |
| Practice Telephone | 7168562702 |
| Practice Fax Number | 7168568034 |
| Mailing Telephone | 7164954149 |
| Mailing Fax Number | 7168520902 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
643069-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497054084 | Bradley Joseph Porter | Registered Nurse | 5306 Foothill Blvd, Oakland, CA 94601-5514 | 2011-03-22 |
| 1023095734 | Bradley Thain Porter | Dentist | 6755 E Superstition Springs Blvd, Suite 103, Mesa, AZ 85206-4373 | 2005-12-23 |
| Street Address |
170 FRANKLIN ST SUITE 205 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14202-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548456387 | Cathleen Bierma | Licensed Practical Nurse | 170 Franklin St, Buffalo, NY 14202-2414 | 2007-09-14 |
| 1568814143 | Sonya M Freeland | Registered Nurse | 170 Franklin St, Suite 205, Buffalo, NY 14202-2414 | 2016-07-07 |
| 1184012650 | Anita Brown | Registered Nurse | 170 Franklin St, Buffalo, NY 14202-2414 | 2015-01-06 |
| 1508281452 | Jennifer Penkaty | Registered Nurse | 170 Franklin St, Suite 205, Buffalo, NY 14202-2414 | 2014-03-03 |
| 1952745986 | Catherine Marie Heary | Licensed Practical Nurse | 170 Franklin St, Buffalo, NY 14202-2414 | 2013-04-21 |
| 1700121357 | Dayontra Chanele Giles | Licensed Practical Nurse | 170 Franklin St, 205, Buffalo, NY 14202-2414 | 2012-12-09 |
| 1932444726 | Chante Crawford | Licensed Vocational Nurse | 170 Franklin St, Suite 501, Buffalo, NY 14202-2414 | 2012-12-05 |
| 1245583491 | Julianne Gooch | Registered Nurse | 170 Franklin St, Buffalo, NY 14202-2414 | 2012-10-24 |
| 1407108681 | Nicole Woods | Registered Nurse | 170 Franklin St, Buffalo, NY 14202-2414 | 2012-10-11 |
| 1801146634 | All Metro Health Care | Health Maintenance Organization | 170 Franklin St, Buffalo, NY 14202-2414 | 2012-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
| 1962022483 | Autumn Marie Hayes I | Counselor | 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 | 2020-04-24 |
| 1861012742 | Natasha Qutab | Student in an Organized Health Care Education/Training Program | Department of Neurology, 1010 Main Street, 2nd Floor, Buffalo, NY 14202 | 2020-04-21 |
| 1396232245 | Wood Dental LLC | Dentist | 564 Franklin Street, Buffalo, NY 14202 | 2018-04-17 |
| 1083130728 | Lydia Heeeun Doublestein | Advanced Practice Midwife | 367 Delaware Ave, Buffalo, NY 14202 | 2017-08-15 |
| 1356861652 | Michelle Cheesman | Speech-Language Pathologist | 801 City Hall, Buffalo, NY 14202 | 2017-06-27 |
| 1275082075 | Tempresst Nycole Batts Ravenell | Registered Nurse | 69 Delaware Ave Suite 1200, Interim Healthcare, Buffalo, NY 14202 | 2016-09-22 |
| 1972974764 | Tiffany Tyran | Registered Nurse | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202 | 2015-10-19 |
| 1487044368 | Katherine Jeffries-coppola | Registered Nurse | 69 Delaware Ave. Suite 1200, Buffalo, NY 14202 | 2015-01-29 |
| Find all providers in zip 14202 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237638 | Jill Wackler | Registered Nurse | 2404 Greenbriar Ln, Buffalo, MN 55313-2368 | 2019-04-16 |
| 1811313877 | Tiffany Marie Walton | Registered Nurse | 149 Virgil Ave, Buffalo, NY 14216-1805 | 2014-03-13 |
| 1770880932 | Lisa Ann Thomas | Registered Nurse | 255 Millicent Ave., Buffalo, NY 14215 | 2011-02-23 |
| 1538495270 | Raahkeba Goree | Registered Nurse | 525 Parker Ave, Buffalo, NY 14216-2108 | 2009-10-31 |
| 1659918118 | Priscilla Wing Yee Gan | Registered Nurse | 184 Barton St, Buffalo, NY 14213-1573 | 2019-12-04 |
| 1144791856 | Shari Hearn | Registered Nurse | 95 John Muir Dr, Buffalo, NY 14228-1144 | 2018-12-07 |
| 1649787995 | Alesha Schaufler | Registered Nurse | 25 1st Ave Ne, Buffalo, MN 55313-1568 | 2018-01-09 |
| 1225567738 | Angie Weicht | Registered Nurse | 25 1st Ave Ne, Buffalo, MN 55313-1568 | 2017-06-08 |
| 1679874986 | Rosemarie Rita Amodeo | Registered Nurse | 74 16th St, Buffalo, NY 14213-2607 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889197 | Larisa Yushuva | Registered Nurse | 7741 170th St, Fresh Meadows, NY 11366-1345 | 2020-07-29 |
| 1457978165 | Anthony Ugbala | Registered Nurse | 450 Baldwin Ave, North Baldwin, NY 11510-2501 | 2020-06-29 |
| 1285254185 | Paula Rose Brooks-obas | Registered Nurse | 166 Brown Ave, Hempstead, NY 11550-7139 | 2020-04-21 |
| 1093349870 | Phyllis Mcevoy | Registered Nurse | 225 Central Dr, Briarcliff Manor, NY 10510-1212 | 2020-03-02 |
| 1548891450 | Veronica Lopez-santana | Registered Nurse | 20 Pierces Rd Apt 61, Newburgh, NY 12550-3244 | 2020-01-29 |
| 1073159398 | Tanya Cornelius | Registered Nurse | 12 S Hedley St, Cheektowaga, NY 14206-2508 | 2019-11-21 |
| 1770129173 | Donna Patricia Parchment | Registered Nurse | 12039 198th St, Saint Albans, NY 11412-3729 | 2019-11-20 |
| 1255982831 | Luz Deliz Santana | Registered Nurse | 76 Starr St Apt 3a, Brooklyn, NY 11237-2299 | 2019-09-24 |
| 1558924118 | Marie Roosevelt Mallebranche | Registered Nurse | 25742 145th Ave, Rosedale, NY 11422-3315 | 2019-04-19 |
| 1336609585 | Caroline Ortiz | Registered Nurse | 1982 University Ave Apt 1d, Bronx, NY 10453-4414 | 2019-03-22 |
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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.