Rodrigo G. Bristol, M.d., Inc. - Medicare Primary Care in Honolulu, HI

Rodrigo G. Bristol, M.d., Inc. is a medicare enrolled primary clinic (General Practice) in Honolulu, Hawaii. The current practice location for Rodrigo G. Bristol, M.d., Inc. is 634 Kalihi St, Honolulu, Hawaii. For appointments, you can reach them via phone at (808) 845-3911. The mailing address for Rodrigo G. Bristol, M.d., Inc. is 634 Kalihi St, Honolulu, Hawaii and phone number is (808) 845-3911.

Rodrigo G. Bristol, M.d., Inc. is licensed to practice in Hawaii (license number 2213). The clinic also participates in the medicare program and its NPI number is 1053625723. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (808) 845-3911.

Contact Information

Rodrigo G. Bristol, M.d., Inc.
634 Kalihi St
Honolulu
HI 96819-4000
(808) 845-3911
(808) 848-0870

Primary Care Clinic Profile

Full NameRodrigo G. Bristol, M.d., Inc.
SpecialityGeneral Practice
Location634 Kalihi St, Honolulu, Hawaii
Authorized Official Name and PositionRodrigo Gose Bristol (PRESIDENT)
Authorized Official Contact8088453911
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rodrigo G. Bristol, M.d., Inc.
634 Kalihi St
Honolulu
HI 96819-4000

Ph: (808) 845-3911
Rodrigo G. Bristol, M.d., Inc.
634 Kalihi St
Honolulu
HI 96819-4000

Ph: (808) 845-3911

NPI Details:

NPI Number1053625723
Provider Enumeration Date08/04/2010
Last Update Date08/04/2010

Medicare PECOS Information:

Medicare PECOS PAC ID4284810094
Medicare Enrollment IDO20110512000055

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Medical Identifiers

Medical identifiers for Rodrigo G. Bristol, M.d., Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053625723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 2213 (Hawaii)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Rodrigo G. Bristol, M.d., Inc. acts as a billing entity for following providers:
Provider NameRodrigo G Bristol
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1811079924
PECOS PAC ID: 3274719083
Enrollment ID: I20110512000074

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