Individual provider Active NPI

Benjamin Obrien, MD

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1336233972
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12738 Issued in HI
Practice address
1 Jarrett White Road
Tripler Army Medical Center
Honolulu, HI 96859-5000
Phone
(808) 433-8199
Fax
(808) 433-8334
NPI assigned
Oct 3, 2006
Last updated
Nov 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 53586311205 UT
Psychiatry Physician 2084P0800X 12738 HI Primary

Addresses

Primary practice location

1 Jarrett White Road
Tripler Army Medical Center
Honolulu, HI 96859-5000

Mailing address

91-229 Makahou PL
Kapolei, HI 96707-1943
Phone (808) 888-4877

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

LicenseStateTypeSpecialty
12738HIMDPsychiatry Physician
53586311205UTMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1336233972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-229 MAKAHOU PL",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071943",
            "telephone_number": "808-888-4877",
            "fax_number": "808-888-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE ROAD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968595000",
            "telephone_number": "808-433-8199",
            "fax_number": "808-433-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "53586311205",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "12738",
            "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 Nov 21, 2011; 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.