Porter, Brenda Elaine

Porter, Brenda Elaine is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Porter, Brenda Elaine can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Phone: (650) 497-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X G89267 California
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X G89267 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G89267 California

Profile Details

NPI number 1346256583
LBN Legal business name Porter, Brenda Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Nov 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346256583 NPPES
New Jersey MEDICAID 8904502

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