Organization Active NPI

BDR Anesthesia, LLC

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1205381068
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18643 Issued in HI
Legal business name
BDR ANESTHESIA, LLC
Practice address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone
(808) 847-5385
NPI assigned
Aug 23, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Dr. Bradley Reber, M.D.
Title
Single-Member Owner
Phone
(808) 847-5385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 18643 HI Primary

Addresses

Primary practice location

1301 Punchbowl St
Honolulu, HI 96813-2402

Mailing address

PO Box 10224
Fullerton, CA 92838-6224
Phone (808) 847-5385

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1205381068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10224",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928386224",
            "telephone_number": "808-847-5385",
            "fax_number": "808-847-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-847-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDR ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "REBER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "SINGLE-MEMBER OWNER",
        "authorized_official_telephone_number": "808-847-5385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "18643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.