MR. J D WAILUA BRANDMAN APRN PMHCNS/NP-BC NPI 1336100049

NPI Information

  • NPI: 1336100049
  • Provider Name: MR. J D WAILUA BRANDMAN, APRN PMHCNS/NP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 615 PIIKOI ST
    SUITE 1406
    HONOLULU, HI
    ZIP 96814
  • Phone: (808) 593-7703

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NPI Details

MR. J D Wailua Brandman, APRN PMHCNS/NP-BC is a psychiatric/mental health nurse practitioner in Honolulu, HI with 30 years of experience. MR. J D Wailua Brandman, APRN PMHCNS/NP-BC NPI is 1336100049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

615 PIIKOI ST
SUITE 1406
HONOLULU, HI
ZIP 96814-116
Phone: (808) 593-7703
Fax: (808) 593-7703

The NPI 1336100049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 1/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN13HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
125092001MEDICAIDHAWAII
2BF505ZOTHERHAWAIIMEDICARE PTAN
300A0217578OTHERHAWAIIHMSA/BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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