Brenda E Porter
Neurologist Pediatrician Child Neurologist
3401 Civic Center Blvd Children's Hospital Of Philadelphia
Philadelphia
, Pennsylvania 19104-4319
Brenda E Porter
Neurologist Pediatrician Child Neurologist
3401 Civic Center Blvd Children's Hospital Of Philadelphia
Philadelphia
, Pennsylvania 19104-4319
(215) 567-2422
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About
Features
Specialties
- Pediatrician
- Neurologist
- Child Neurologist
Languages spoken
- English
Location
First Address
- Brenda E Porter
- 100 N 20th St Suite 301
- Philadelphia, PA
- Zip : 19103-1443
- Phone : (215) 567-2422
Second Address
- Brenda E Porter
- 3401 Civic Center Blvd Children's Hospital Of Philadelphia
- Philadelphia, PA
- Zip : 19104-4319
- Phone : (215) 590-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | MD064565L | PA |
| N | 2084N0400X | Neurologist | G89267 | CA |
| N | 2084N0402X | Child Neurologist | G89267 | CA |
| N | 2084N0402X | Child Neurologist | MD064565L | PA |
National Provider Identifier
| NPI | 1346256583 |
|---|---|
| Provider Name | Brenda E Porter |
| First Address | Philadelphia, PA 19103-1443 |
| Second Address | Philadelphia, PA 19104-4319 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 15/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001910252 | (05) | PA |
| 8904502 | (05) | NJ |
| H69235 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.