Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Porter Physician Services LLC

Organization Family Medicine Physician · NPI 1457566309

Porter Physician Services LLC is a Family Medicine Physician in Portage, Indiana. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3630 Willowcreek Rd
Portage, IN 46368-5075
Phone: (219) 759-5791
Fax: (219) 759-3807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1457566309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Brewer — Director Of Provider Enrollment · (615) 465-7626
NPI enumeratedMay 14, 2007
Last updated in NPPESJanuary 28, 2009
Mailing address3630 Willowcreek Rd, Portage, IN 46368-5075

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