Rodrigo G. Bristol, M.D., Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2213 Issued in HI

Legal business name

RODRIGO G. BRISTOL, M.D., INC.

Practice address

634 Kalihi St
Honolulu, HI 96819-4000

Phone

(808) 845-3911

Fax

(808) 848-0870

NPI assigned

Aug 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rodrigo Gose Bristol, M.D.

Title

President

Phone

(808) 845-3911

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1053625723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 KALIHI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194000",
            "telephone_number": "808-845-3911",
            "fax_number": "808-848-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 KALIHI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194000",
            "telephone_number": "808-845-3911",
            "fax_number": "808-848-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGO G. BRISTOL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "BRISTOL",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_middle_name": "GOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-845-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "2213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.