NPIMap

Individual provider Active NPI

Brian Thielen

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1568042885
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-24299 Issued in HI
Practice address
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone
(808) 932-3730
NPI assigned
Apr 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MED-PHYS-LIC-160504 MT
Family Medicine Physician 207Q00000X MD-24299 HI Primary

Addresses

Primary practice location

1190 Waianuenue Ave
Hilo, HI 96720-2089

Mailing address

1190 Waianuenue Ave
Hilo, HI 96720-2089

Other practice location 1

160 Heritage Way Ste 202
Kalispell, MT 59901-3127
Phone (406) 752-8433

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Kalispell Regional Medical Center, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241213000586 HI Practitioner - Family Practice 1355877390 Reassigns benefits to 3 organizations
I20260225001761 MT Practitioner - Family Practice 1355877390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalispell Regional Medical Center IncGroup PAC ID 5294644381, 422 clinicians
Sound Physicians of Hawaii IncGroup PAC ID 8628378973, 18 clinicians

Practice addresses (Care Compare)

160 Heritage Way
Suite 202
Kalispell, MT 59901-3127
Phone (406) 752-8433

79 -1019 Haukapila St
Kealakekua, HI 96750-7920
Phone (808) 322-9311

Hospital & facility affiliations

  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051
  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-160504MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Regional Medical Center, Inc CurrentSince Apr 6, 2026 Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Apr 6, 2026 Accepting new patients
Kau Hospital CurrentSince Jan 16, 2025 Accepting new patients
Kau Hospital Current Accepting new patients
Kau Hospital CurrentSince Jan 16, 2025 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 16, 2025 Accepting new patients
Sound Physicians of Hawaii Inc Family Medicine CurrentSince Oct 21, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 16, 2025 Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients
Kona Hospital Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

160 Heritage Way
Ste 202
Kalispell, MT 59901
Phone (406) 752-8433

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org
  • Direct secure messaging: bthielen21592@hhsc.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1568042885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202089",
            "telephone_number": "808-932-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Heritage Way Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013127",
            "country_code": "US",
            "telephone_number": "406-752-8433",
            "fax_number": "406-756-6768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-11",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-160504",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-24299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "160 Heritage Way Ste 202",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.