BRENT A PORTER (MD) – Internal Medicine Physician, NPI 1588680672

BRENT A PORTER (MD) is a healthcare provider. based in Bastrop, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. L1969 (TX). The NPI Number for BRENT A PORTER (MD) is 1588680672

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
BRENT A PORTER (MD)
NPI
1588680672
Phone
(512) 304-0313
Address
441 HIGHWAY 71 W
Enumeration Date
14 July 2006
Last Update Date
31 January 2013

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5123040313
Graduation Year
1995 (31 years ago)
PAC ID
8022909738
Group Practice PAC ID
5193634293
Professional Enrollment ID
I20040323000592
Address ID
TX786024234BA630XXWXXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for BRENT A PORTER (MD)

  • Harbor Freight Tools, 441, State Highway 71 West, Riverside Grove, Bastrop, Bastrop County, Texas, 78602, United States

    SUITE C

    BASTROP, TX 786023931

    Phone: (512) 304-0313

    Fax: (512) 304-0326

    Type: Location

  • 1601, Rio Grande Street, Austin, Travis County, Texas, 78701, United States

    SUITE 340

    AUSTIN, TX 787011137

    Phone: (512) 324-8960

    Fax: (512) 324-8962

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040323000592IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78602)

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Provider's Procedures

BRENT A PORTER (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX81002Urinalysis, manual test1815
INTERNAL MEDICINETX90670Pneumococcal vaccine for injection into muscle3636

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193634293View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
-TX
-TX
Family PracticeTX
Family PracticeTX
Family PracticeTX
Internal MedicineTX
R H E U M A T O L O G YTX

Reviews

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Frequently asked questions

Does BRENT A PORTER (MD) have a public NPI I can cite?
Public records show BRENT A PORTER (MD) under NPI 1588680672.
Is BRENT A PORTER (MD) currently accepting referrals based on NPI status?
Registry metadata lists BRENT A PORTER (MD) as active.
Which specialty label fits BRENT A PORTER (MD)?
NPPES ties BRENT A PORTER (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to BRENT A PORTER (MD)?
The directory associates BRENT A PORTER (MD) with Bastrop, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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