Active NPI
Bruce a. G. Soll M.D., LLC
- Pulmonary Disease Physician
- Honolulu, HI
National Provider Identifier
1841497344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2211
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | HI |
National Provider Directory
National Provider DirectoryNPI 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.