Wiley Brunel, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD7357 Issued in HI

Practice address

642 Ulukahiki St Ste 203
Kailua, HI 96734-4418

Phone

(808) 678-2211

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1457434318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 203",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344418",
            "telephone_number": "808-678-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 203",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344418",
            "telephone_number": "808-678-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNEL",
        "first_name": "WILEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD7357",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "HI",
            "license": "MD7357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06157701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genotra D Brown, MSCP
• Michelle Brown
• Theresa Brown
• Amelia Margaret Brownlee
• Makena Aison Bruhn
• George Richard Bruno, M.D.
• Catherine A Bruns, MFT
• Madeline Ann Bucheit, M.ED, BCBA
• James C. Budde, M.D.
• Building Connections Counseling LLC

• Surgery Physician in Kailua, HI
• Providers in Kailua, HI by specialty
• Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.