Brian Wilson Md L.l.c.
Pediatric Adolescent Medicine
Brian Wilson Md L.l.c. is a Hilo, Hawaii based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
275 Ponahawai St, Suite 106, Hilo, Hawaii - 96720-3074. They can be contacted on phone at
808-961-0022 and fax number 808-969-3852.
NPI number (Unique professional ID) for Brian Wilson Md L.l.c. is
1134315005 which was assigned by NPPES on 24 Sep, 2007 and it was last updated on 24 Sep, 2007.
Brian Wilson Md L.l.c. license number is
4143 for Pediatrics Adolescent Medicine (2080A0000X) in Hawaii.
Brian Wilson Md L.l.c. 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:
Brian Wilson Md L.l.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Brian Wilson Md L.l.c. |
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Business Address:
Brian Wilson Md L.l.c. 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 : | 1134315005 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 24 Sep, 2007 |
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| Last Updated On : | 24 Sep, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Brianj Wilson |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PEDIATRICIAN |
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| Phone Number : | 808-961-0022 |
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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 Brian Wilson Md L.l.c. are as mentioned. Primary taxonomy code for Brian Wilson Md L.l.c. 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 Brian Wilson Md L.l.c. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 04734301 | MEDICAID | IA | |
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
Brian Wilson Md L.l.c. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.