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BRIAN WILSON MD L.L.C.
NPI 1134315005
Pediatrics - Adolescent Medicine in Hilo, HI

Active since September 24, 2007
275 PONAHAWAI ST, SUITE 106, HILO, HI 96720(808) 961-0022(808) 969-3852 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Wilson Md L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN WILSON MD L.L.C. (NPI 1134315005) is a healthcare organization registered as an adolescent medicine in Hilo, Hawaii and active in the NPI registry since September 2007. The organization lists Brian J Wilson, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1134315005
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBRIAN WILSON MD L.L.C.
Location Address275 PONAHAWAI ST, SUITE 106Hilo, HI 96720-3074
Mailing Address275 Ponahawai St, Suite 106Hilo, HI 96720-3074 · (808) 961-0022 · Fax (808) 969-3852
Phone(808) 961-0022
Fax(808) 969-3852
Organization SubpartNo
Authorized OfficialBrian J WilsonPediatrician · (808) 961-0022
Enumeration DateSeptember 24, 2007
✔ NPI 1134315005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in HI · 4143
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
275 PONAHAWAI ST, Hilo, HI 96720
Open in Google Maps ↗

Other Identifiers 1

Medicaid04734301IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT M ATEBARA, DMD, INC
Clinic/Center (Dental)
275 PONAHAWAI ST, SUITE 202
HILO, HI 96720
Hawaii County (808) 961-3031
DR. WILLIAM HAYAKAWA D.D.S.
Dentist (General Practice)
275 PONAHAWAI ST, SUITE 102
HILO, HI 96720
Hawaii County (808) 935-6605
DARRETT CHOY MD LLC
Pediatrics (Adolescent Medicine)
275 PONAHAWAI ST, SUITE #106
HILO, HI 96720
Hawaii County (808) 961-0022
DR. MARK K. KOIZUMI D.D.S.
Dentist (General Practice)
275 PONAHAWAI ST, STE.103
HILO, HI 96720
Hawaii County (808) 935-1149
DR. AMMON KAU DDS
Dentist
275 PONAHAWAI ST, SUITE 204
HILO, HI 96720
Hawaii County (808) 961-6704
DR. BRIAN J WILSON M.D.
Pediatrics (Adolescent Medicine)
275 PONAHAWAI ST, SUITE 106
HILO, HI 96720
Hawaii County (808) 961-0022
MARK K. KOIZUMI, D.D.S., INC.
Clinic/Center (Dental)
275 PONAHAWAI ST, SUITE 103
HILO, HI 96720
Hawaii County (808) 935-1149
DR. GEORGE SHIZUTO ATEBARA DDS
Dentist (General Practice)
275 PONAHAWAI ST, SUITE 101
HILO, HI 96720
Hawaii County (808) 935-8152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Wilson MD L.L.C.'s NPI number?

The NPI number for Brian Wilson MD L.L.C. is 1134315005. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Brian Wilson MD L.L.C. located?

Brian Wilson MD L.L.C. is located at 275 Ponahawai St Suite 106, Hilo, HI 96720. The listed phone number is (808) 961-0022.

What is Brian Wilson MD L.L.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Brian Wilson MD L.L.C. was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.