DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. BRANDON ROBERT PORTEN MD

MEDICARE: DR. BRANDON ROBERT PORTEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician66104MN

General Provider Information

NPI Number : 1942799895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON ROBERT PORTEN MD
Provider Business Mailing Address
First Line : 2025 SLOAN PL
Second Line : STE 35
City : SAINT PAUL
State : MN
Zip : 55117-2092
Country : US
Telephone Number : 651-227-6551
Fax Number :
Provider Business Practice Location Address
First Line : 2601 CENTENNIAL DR
Second Line : STE 100
City : NORTH SAINT PAUL
State : MN
Zip : 55109-3087
Country : US
Telephone Number : 651-777-7414
Fax Number : 651-748-5839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2018
Last Update Date : 07/19/2021

Similar Medicare Providers

1760497036 — JEANNE MARIE ANDERSON MD
Practice Location Address:
2601 CENTENNIAL DR STE 100
NORTH SAINT PAUL, MN
55109-3087
Practice Phone: 651-777-7414
Practice Fax: 651-748-5839
1609881051 — CRAIG C MOMMSEN MD
Practice Location Address:
2601 CENTENNIAL DR STE 100
NORTH SAINT PAUL, MN
55109-3087
Practice Phone: 651-777-7414
Practice Fax: 651-748-5839
1194212605 — EVAN R EIDE MD
Practice Location Address:
2601 CENTENNIAL DR STE 100
NORTH SAINT PAUL, MN
55109-3087
Practice Phone: 651-777-7414
Practice Fax: 651-748-5839
1588243588 — BROOKE DANIELLE GENSLER MD
Practice Location Address:
2601 CENTENNIAL DR STE 100
NORTH SAINT PAUL, MN
55109-3087
Practice Phone: 651-777-7414
Practice Fax: 651-748-5839
1780690735 — STEVEN W HALLSTROM MD
Practice Location Address:
2601 CENTENNIAL DR STE 100
NORTH ST PAUL, MN
55109-3087
Practice Phone: 651-777-7414
Practice Fax: 651-748-5839
1699782359 — MARK WW BOGEL MD
Practice Location Address:
2601 CENTENNIAL DR STE 100
NORTH ST PAUL, MN
55109-3087
Practice Phone: 651-777-7414
Practice Fax: 651-748-5839

Directions to “ DR. BRANDON ROBERT PORTEN MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.