Individual provider Active NPI

Brian A Stolley, MD

  • Family Medicine Physician
  • Kihei, HI
National Provider Identifier
1649219437
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD12343 Issued in HI
Practice address
1445 S Kihei Rd
Kihei, HI 96753-8107
Phone
(808) 879-4909
Fax
(808) 879-4333
NPI assigned
Jun 6, 2006
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD12343 HI Primary

Addresses

Primary practice location

1445 S Kihei Rd
Kihei, HI 96753-8107

Mailing address

1445 S Kihei Rd
Kihei, HI 96753-8107
Phone (808) 879-4909

Other practice location 1

41 E Lipoa St
Kihei, HI 96753-8148
Phone (808) 879-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of Maui, LLC CurrentSince Aug 1, 2021 Accepting new patients
Brian a. Stolley MD, Inc PastSince Apr 2, 2003 Accepting new patients

Locations

1445 S Kihei Rd
Kihei, HI 96753
Phone (484) 477-2187

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1649219437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 S KIHEI RD",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538107",
            "telephone_number": "808-879-4909",
            "fax_number": "808-879-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 S KIHEI RD",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538107",
            "telephone_number": "808-879-4909",
            "fax_number": "808-879-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 E Lipoa St",
            "address_purpose": "LOCATION",
            "city": "Kihei",
            "state": "HI",
            "postal_code": "967538148",
            "country_code": "US",
            "telephone_number": "808-879-4909",
            "fax_number": "808-879-4933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLLEY",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD12343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.