Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN PETERNELL, D.O.
Active Sole ProprietorBRIAN PETERNELL, D.O. is a Electrodiagnostic Medicine healthcare provider located in MAKAWAO, Hawaii. NPI 1871853796 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · MAKAWAO, HI
Registration Details
- NPI Number
- 1871853796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2012 (14.23013560355 yrs)
- Last Updated
- Feb 4, 2023
- Licenses
-
20A13464 (CA)20A13464 (CA)DOS-2186 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
81 MAKAWAO AVE STE 204MAKAWAO, HI, 967688859Browse HI providers · Browse ZIP 96768
- Phone
- 8082130613
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
- Additional Specialty
- General Practice
- Additional Specialty
- Electrodiagnostic Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.