DR. BRIAN R PORT (MD) – Family Medicine Physician, NPI 1336133602

DR. BRIAN R PORT (MD) is a healthcare provider. based in Chester, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 0101-033236 (VA). The NPI Number for DR. BRIAN R PORT (MD) is 1336133602

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN R PORT (MD)
NPI
1336133602
Phone
(804) 748-9071
Address
12801 IRON BRIDGE RD
Enumeration Date
1 September 2005
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
8044436063
Graduation Year
1980 (46 years ago)
PAC ID
0143395087
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20080812000696
Address ID
VA225605098TA300XXPARK400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

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Provider Addresses for DR. BRIAN R PORT (MD)

  • 12801, Iron Bridge Road, Lakewood Estates, Chester, Chesterfield County, Virginia, 23831, United States

    SUITE 200

    CHESTER, VA 238311669

    Phone: (804) 748-9071

    Fax: (804) 768-8626

    Type: Mailing

  • 2760 Godwin Blvd Ste 100

    Suffolk, VA 234348501

    Phone: (757) 983-8650

    Fax: (757) 983-8673

    Type: Location

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: 2017-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080812000696IFamily PracticeVATBD
I20170315000863IFamily PracticeSCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes274227$0
99213Established patient office or other outpatient visit, 20-29 minutes139120$0
36415Insertion of needle into vein for collection of blood sample119106$0
90662Influenza vaccine split virus, preservative free7070$0
G0008Administration of influenza virus vaccine6969$0
View full utilization report →

Insurance plans in this area (ZIP 23831)

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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: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
Nurse PractitionerVA
Orthopedic SurgeryVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Nurse PractitionerVA
Qualified AudiologistVA
Radiation OncologyVA
O T O L A R Y N G O L O G YVA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BRIAN R PORT (MD)?
NPI 1336133602 is assigned to DR. BRIAN R PORT (MD) under the national enumeration system.
Is DR. BRIAN R PORT (MD) currently active in the NPI registry?
CMS-published data lists DR. BRIAN R PORT (MD) as an active registrant.
What does DR. BRIAN R PORT (MD) treat or focus on?
Patients typically see DR. BRIAN R PORT (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BRIAN R PORT (MD)'s primary listing?
We display Chester, Virginia because that is what the record indicates for DR. BRIAN R PORT (MD).
What if Chester, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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