Active NPI
Brian Panik, D.O.
- Emergency Medicine Physician
- Kapolei, HI
National Provider Identifier
1235162959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DOS-1115
- Practice address
- 599 Farrington Hwy Ste 201
Kapolei, HI 96707-2028 - Phone
- (808) 674-9500
- NPI assigned
- Jul 8, 2006
- Last updated
- Dec 8, 2014
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DOS-1115 | HI | Primary |
Addresses
Primary practice location
599 Farrington Hwy Ste 201
Kapolei, HI 96707-2028
Mailing address
PO Box 1028
Haleiwa, HI 96712-1028
Phone (808) 895-2600
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-1115 | HI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kuakini Emergency Physicians Service Oahu, LLC | Emergency Medicine | Past | Accepting new patients |
| Islands Emergency Medical Service Hawaii, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Honolulu, HI
- NPI 1154393353
-
- Emergency Medicine Physician
- Honolulu, HI
- NPI 1144412743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1235162959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1028",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967121028",
"telephone_number": "808-895-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 FARRINGTON HWY STE 201",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072028",
"telephone_number": "808-674-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANIK",
"first_name": "BRIAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "DOS-1115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.