Brian Byung Song, DR.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4473 Issued in NU

Practice address

469 Ena Rd.
Suite 2809
Honolulu, HI 96815-1713

Phone

(808) 798-8753

Fax

(808) 200-1147

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1093282642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 ENA RD",
            "address_2": "SUITE 2809",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151713",
            "telephone_number": "808-376-1506",
            "fax_number": "808-200-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 ENA RD.",
            "address_2": "SUITE 2809",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151713",
            "telephone_number": "808-798-8753",
            "fax_number": "808-200-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "BRIAN",
        "middle_name": "BYUNG",
        "name_prefix": "Mr.",
        "credential": "DR.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "PT4473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emese Somogyi, M.D.
• Somphone Schwarzer LLC
• Hiroya Son, DPT
• Aeran Song
• Amy H Song, PHARM.D
• Clara Song, D.AC.
• Daniel Y Song, MD
• Sonia G. Patel, M.D., Inc.
• Sonia Q. Cosio, D.D.S
• Jeffrey Scott Sonnega, PH.D.

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.