National Provider Identifier

Bradley Scott Porter, RN

Bradley Scott Porter, RN is listed in the NPPES registry with a primary specialty of Case Management Registered Nurse in Buffalo, NY and a listed phone number of (716) 856-2702.

NPI 1013457654Buffalo, NYCase Management Registered Nurse

Profile Overview

NPI
1013457654
Provider Type
Individual
Primary Specialty
Case Management Registered Nurse
Enumeration Date
March 01, 2017
Last Updated
March 01, 2017

Practice Location

  • 170 Franklin St
  • Suite 205
  • Buffalo, NY 14202-2414

Phone: (716) 856-2702

Mailing Address

  • 66 Orchard Ave
  • Upper Apt
  • West Seneca, NY 14224-1417

Specialties

  • Case Management Registered Nurse (163WC0400X)
Full Record
NPI
1013457654
Entity Type
Individual
Last Name
Porter
First Name
Bradley
Middle Name
Scott
Name Prefix
Mr.
Credential
RN
Mailing Street Address
66 Orchard Ave
Mailing Address Line 2
Upper Apt
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-1417
Mailing Country
US
Mailing Phone
(716) 495-4149
Mailing Fax
(716) 852-0902
Practice Street Address
170 Franklin St
Practice Address Line 2
Suite 205
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-2414
Practice Country
US
Practice Phone
(716) 856-2702
Practice Fax
(716) 856-8034
Enumeration Date
March 01, 2017
Last Updated
March 01, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Management Registered Nurse (163WC0400X)