Bert Hart Williams
Individual provider Active NPI Specialist · Hana, HI
NPI 1831259720 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831259720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1992 (HI)
- Practice address
- HC 1 Box 6 D
Hana, HI 96713-9701 - Phone
- (808) 281-1104
- Fax
- (808) 248-8344
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1992 | HI | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1992 | HI | Yes |
Addresses
Primary practice location
HC 1 Box 6 D
Hana, HI 96713-9701
Mailing address
HC 1 Box 6 D
Hana, HI 96713-9701
Phone (808) 281-1104
Other providers in Hana, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.