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

Individual provider Physician Assistant · NPI 1205676715

Brooke Renee Porter is a Physician Assistant in Worcester, Massachusetts. Qualified in 2024, 2 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 441-6468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 119 Belmont St, Worcester, MA 01605-2903 — (774) 441-6468

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101455 (MA)

Record details

NPI number1205676715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2024
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Worcester