Active NPI
Philip V Bohnert, MD
- Psychiatry Physician
- Mililani, HI
National Provider Identifier
1114990256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD6895
- Practice address
- 95390 Kuahelani Ave
Mililani, HI 96789 - Phone
- (808) 627-3200
- Fax
- (808) 623-7872
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD6895 | HI | Primary |
Addresses
Primary practice location
95390 Kuahelani Ave
Mililani, HI 96789
Mailing address
128 Lehua St
Wahiawa, HI 96786-2036
Phone (808) 621-8411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C78000 | Other | HI | HMSA |
| 05868401 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6895 | HI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114990256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 LEHUA ST",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967862036",
"telephone_number": "808-621-8411",
"fax_number": "808-621-4117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95390 KUAHELANI AVE",
"city": "MILILANI",
"state": "HI",
"postal_code": "96789",
"telephone_number": "808-627-3200",
"fax_number": "808-623-7872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNERT",
"first_name": "PHILIP",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD6895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "C78000",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05868401",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.