Brian I. Watanabe, M.D., Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD-7581 Issued in HI

Legal business name

BRIAN I. WATANABE, M.D., INC.

Practice address

1885 Main St
Suite 205
Wailuku, HI 96793-1819

Phone

(808) 244-6776

Fax

(808) 244-6005

NPI assigned

Sep 22, 2008

Last updated

Sep 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian I. Watanabe, M.D.

Title

President / Owner

Phone

(808) 244-6776

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1194975516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967930308",
            "telephone_number": "808-244-6776",
            "fax_number": "808-244-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST",
            "address_2": "SUITE 205",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931819",
            "telephone_number": "808-244-6776",
            "fax_number": "808-244-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN I. WATANABE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "808-244-6776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD-7581",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "HI",
            "license": "MD-7581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG834232",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Brandes, MD
• Kim Kimi Breitbach, LMT
• Mark Douglas Breithaupt, PH.D.
• Malte Breitlow, PHARMD.
• Michael Ross Brewer, D.P.M.
• Alexandria Emilie Brito, CNM
• Alison J Bromley, LCSW
• Ellen Marie Brown, PA
• Evan G. Brown, DO
• Irving Brown, M.D.

• Vascular Surgery Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Vascular Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.