Healthcare Provider Details

I. General information

NPI: 1790616308
Provider Name (Legal Business Name): BRAD THOMAS BYERLE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4569 KUKUI ST STE 201
KAPAA HI
96746-1775
US

IV. Provider business mailing address

PO BOX 296
KILAUEA HI
96754-0296
US

V. Phone/Fax

Practice location:
  • Phone: 808-635-2242
  • Fax:
Mailing address:
  • Phone: 808-635-2242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberACU-1474
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: