Active NPI
Brenton Hill, D.O.
- General Practice Physician
- Honolulu, HI
National Provider Identifier
1821149402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- DOS-1040
- Practice address
- 1354 Miloiki St
Honolulu, HI 96825-3223 - Phone
- (808) 754-0522
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DOS-1040 | HI | Primary |
Addresses
Primary practice location
1354 Miloiki St
Honolulu, HI 96825-3223
Mailing address
2ND Battallion 3Rd Marines
PO Box 63012
Kaneohe Bay, HI 96863-3012
Phone (808) 257-3419
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-1040 | HI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821149402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2ND BATTALLION 3RD MARINES",
"address_2": "PO BOX 63012",
"city": "KANEOHE BAY",
"state": "HI",
"postal_code": "968633012",
"telephone_number": "808-257-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 MILOIKI ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968253223",
"telephone_number": "808-754-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "BRENTON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "DOS-1040",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.