Brandon Tho Phuoc Nguyen, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-3169-0 Issued in HI

Practice address

1 Jarrett White Rd
Tripler AMC, HI 96859-5001

Phone

(808) 433-2778

NPI assigned

Apr 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1376124438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 CALIFORNIA AVE.",
            "address_2": "Clinic #9300",
            "address_purpose": "LOCATION",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "96786",
            "country_code": "US",
            "telephone_number": "808-621-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRANDON",
        "middle_name": "THO PHUOC",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3169-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Reza Navid, DMD
• Alina M Nazaruk
• Bridget Elizabeth Nelson, RD, LD
• Theresa H. Newlin, NP
• Uyen Thai Ngo, DO
• Quyen Nguyen, OD
• Ashley Jo Nicholson, RD,LD
• Maria Nikolova, PSYD
• Daphne Dee Nishikawa, OD
• Lianne Lee on Nishimiya, LCSW

• Family Nurse Practitioner in Tripler AMC, HI
• Providers in Tripler AMC, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.