Active NPI
Brett A. Wyrick, D.O.
- Surgery Physician
- Hilo, HI
National Provider Identifier
1992740666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DOS-756
- Practice address
- 1028 Kinoole St
Suite 104
Hilo, HI 96720-3800 - Phone
- (808) 935-0988
- Fax
- (808) 935-6127
- NPI assigned
- Jun 18, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DOS-756 | HI | Primary |
Addresses
Primary practice location
1028 Kinoole St
Suite 104
Hilo, HI 96720-3800
Mailing address
PO Box 5520
Hilo, HI 96720-8520
Phone (808) 935-0988
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-756 | HI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992740666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5520",
"city": "HILO",
"state": "HI",
"postal_code": "967208520",
"telephone_number": "808-935-0988",
"fax_number": "808-935-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 KINOOLE ST",
"address_2": "SUITE 104",
"city": "HILO",
"state": "HI",
"postal_code": "967203800",
"telephone_number": "808-935-0988",
"fax_number": "808-935-6127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYRICK",
"first_name": "BRETT",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "HI",
"license": "DOS-756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, 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.