Organization Active NPI

Hawaii Brain and Spine Inc

  • Neurological Surgery Physician
  • Kailua, HI
National Provider Identifier
1174046346
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
HAWAII BRAIN AND SPINE INC
Practice address
40 Aulike St Ste 317
Kailua, HI 96734-2757
Phone
(405) 535-9989
NPI assigned
Jul 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
William BeringerNPI 1073655221
Title
Owner
Phone
(405) 535-9989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

40 Aulike St Ste 317
Kailua, HI 96734-2757

Mailing address

40 Aulike St Ste 317
Kailua, HI 96734-2757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170821001718 HI Part B Supplier - Clinic/Group Practice 6204108640 Receives reassigned benefits from 4 practitioners
Practice locations: Kailua, HI
O20180423000123 HI DME Supplier - Physician - Osteopathic Manipulative Medicine 6204108640 Practice locations: Kailua, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2142124Hawaii Brain and Spine Inc40 Aulike St Suite 317, Kailua, HI 96734Certificate of waiverJan 2, 2028

National Provider Directory

National Provider Directory

Locations

40 Aulike St
Ste 317
Kailua, HI 96734
Phone (808) 722-8730

30 Aulike St
Ste 601
Kailua, HI 96734
Phone (808) 261-3308

75-184 Hualalai Rd
Ste 301
Kailua Kona, HI 96740

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16353/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1174046346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST STE 317",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST STE 317",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342757",
            "telephone_number": "405-535-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII BRAIN AND SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "BERINGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-535-9989"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.