Brian J Wilson is a Adolescent Medicine in Hilo, Hawaii. Brian J Wilson practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Brian J Wilson is 1528018595. The last update date is 2007-07-08.
Brian J Wilson's current location address is 275 Ponahawai St, Hilo, Hawaii. You can contact this provider via phone number 8089610022 and fax number 8089693852. The mailing address for Brian J Wilson is 275 Ponahawai St, Hilo, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian J Wilson |
|---|---|
| Address | 275 Ponahawai St, Hilo, Hawaii |
| Phone Number | 8089610022 |
| Fax Number | 8089693852 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528018595 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 275 Ponahawai St |
|---|---|
| City | Hilo |
| State | Hawaii (HI) |
| Post Code | 967203074 |
| Phone Number | 8089610022 |
| Fax Number | 8089693852 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 4143 |
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Definition: A pediatrician who 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4734301 | HI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brian J Wilson by the Centers for Medicare & Medicaid Services?
The Brian J Wilson has been assigned the NPI (National Provider Identifier) 1528018595. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brian J Wilson?
The Brian J Wilson is situated at 275 Ponahawai St, in the city of Hilo, state of HI, with the zip code 967203074.
What is Brian J Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brian J Wilson is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528018595 to Brian J Wilson?
The Centers for Medicare & Medicaid Services assigned the 1528018595 to Brian J Wilson on 2006-05-11.
As of what date were the details related to Brian J Wilson most recently updated or revised?
The information pertaining to Brian J Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.