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

Mr. Jeffrey Sam Porter, MD

Individual provider Emergency Medicine Physician · NPI 1164496345

Mr. Jeffrey Sam Porter, MD is an Emergency Medicine in Brainerd, Minnesota. Graduated from University of North Dakota School of Medicine in 2001, 25 years ago. Practices with St Josephs Medical Center, a 240-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
25
Trained at
University of North Dakota School of Medicine
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

523 N 3rd St
Brainerd, MN 56401-3054
Phone: (218) 829-2861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 46608 (MN)

Record details

NPI number1164496345
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESJanuary 29, 2016
Mailing address1406 6th Ave N, Saint Cloud, MN 56303-1900

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice St Josephs Medical Center — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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