OrganizationActive
Brian Wilson MD L.L.C.
NPI 1134315005 · Pediatric Adolescent Medicine Physician · Hilo, HI
Provider details
- NPI number
- 1134315005
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Wilson, Pediatrician(808) 961-0022
- License
- 4143 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
275 Ponahawai St
Suite 106
Hilo, HI 96720-3074
Phone: (808) 961-0022
Fax: (808) 969-3852
Street-level locationGet directions
Mailing address
275 Ponahawai St
Hilo, HI 96720-3074
Registry dates
- Enumerated
- 2007-09-24
- Last updated
- 2007-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.