Dr. Brian J Wilson
M.D. | Pediatric Adolescent Medicine | Male
Dr. Brian J Wilson, M.D. is a Hilo, Hawaii based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Brian J Wilson is
275 Ponahawai St, Suite 106, Hilo, Hawaii - 96720-3074. He can be contacted on phone at
808-961-0022 and fax number 808-969-3852.
Dr. Brian J Wilson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Brian J Wilson is
1528018595 which was assigned by NPPES on 11 May, 2006 and it was last updated on 08 Jul, 2007.
Dr. Brian J Wilson license number is
4143 for Pediatrics Adolescent Medicine (2080A0000X) in Hawaii.
Dr. Brian J Wilson specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Brian J Wilson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Brian J Wilson |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Brian J Wilson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 275 Ponahawai St, Suite 106
Hilo, HI, 96720-3074
United States |
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| Phone Number : | 808-961-0022 |
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| Fax Number : | 808-969-3852 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1528018595 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 May, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian J Wilson are as mentioned. Primary taxonomy code for Dr. Brian J Wilson, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 4143 | HI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Brian J Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 04734301 | MEDICAID | HI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 275 Ponahawai St, Suite 106
Hilo, HI, 96720-3074
United States |
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| Phone Number : | 808-961-0022 |
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| Fax Number : | 808-969-3852 |
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Business Location:
Patients can refer following map for directions to
Dr. Brian J Wilson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.