RODRIGO G BRISTOL MD - NPI 1811079924 - General Practice in Honolulu, HI

Q: What is Rodrigo Bristol's NPI number?

The NPI number for Rodrigo Bristol is 1811079924. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Rodrigo Bristol's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Rodrigo Bristol was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Rodrigo G Bristol Md NPPES

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

RODRIGO G BRISTOL MD (NPI 1811079924) is an individual general practice provider in Honolulu, Hawaii, licensed in Hawaii (2213) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811079924

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameRODRIGO G BRISTOLCredential: MD

Location Address634 KALIHI STHonolulu, HI 96819

Mailing Address634 Kalihi StHonolulu, HI 96819 · (808) 845-3911 · Fax (808) 868-0870

Phone(808) 845-3911

Fax(808) 868-0870

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811079924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in HI · 2213

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

634 KALIHI ST, Honolulu, HI 96819

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Other Identifiers 4

Other0000036103Hmsa

Medicare UPINC98382

Medicare ID-Type UnspecifiedH0000BDBRZHI

Medicaid03263601HI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rodrigo G Bristol Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.