Provider Demographics
NPI:1114997210
Name:BESSEMER PRIMARY CARE, P.C.
Entity Type:Organization
Organization Name:BESSEMER PRIMARY CARE, P.C.
Other - Org Name:CHRISTOPHER J. PORTANTE, D.O.
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-428-1110
Mailing Address - Street 1:PO BOX 1201
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-1201
Mailing Address - Country:US
Mailing Address - Phone:205-685-8036
Mailing Address - Fax:205-685-8077
Practice Address - Street 1:722 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-6099
Practice Address - Country:US
Practice Address - Phone:205-428-1110
Practice Address - Fax:205-428-9981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO-259207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALH823Medicare ID - Type Unspecified