Organization Active NPI

Bruce a. G. Soll M.D., LLC

  • Pulmonary Disease Physician
  • Honolulu, HI
National Provider Identifier
1841497344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2211 Issued in HI
Legal business name
BRUCE A. G. SOLL M.D., LLC
Practice address
1329 Lusitana St
Suite 704
Honolulu, HI 96813-2429
Phone
(808) 524-2100
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce A. G. Soll, M.D.
Title
Owner
Phone
(808) 732-1972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 2211 HI Primary

Addresses

Primary practice location

1329 Lusitana St
Suite 704
Honolulu, HI 96813-2429

Mailing address

606 Hunakai St
Honolulu, HI 96816-4910
Phone (808) 732-1972

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841497344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 HUNAKAI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164910",
            "telephone_number": "808-732-1972",
            "fax_number": "808-484-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 704",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-524-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. G. SOLL M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A. G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-732-1972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "2211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "HI"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.