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

Brandon Porter, ATC

Individual provider Athletic Trainer · NPI 1760174965

Brandon Porter, ATC is an Athletic Trainer in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2939 N 36th St Apt 211
Phoenix, AZ 85018-7460
Phone: (815) 412-0239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1760174965
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMay 24, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing address2939 N 36th St Apt 211, Phoenix, AZ 85018-7460

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