{
"Npi": {
"NPI": "1598850141",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "REIS",
"FirstName": "BRIJIT",
"MiddleName": "BERTSCHE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BERTSCHE",
"OtherFirstName": "BRIT",
"OtherMiddleName": "MEEHAN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "30 AULIKE ST",
"SecondLineMailingAddress": "SUITE 500",
"MailingAddressCityName": "KAILUA",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96734-2739",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-263-8822",
"MailingAddressFaxNumber": "808-261-6749",
"FirstLinePracticeLocationAddress": "30 AULIKE ST",
"SecondLinePracticeLocationAddress": "SUITE 500",
"PracticeLocationAddressCityName": "KAILUA",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96734-2739",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-263-8822",
"PracticeLocationAddressFaxNumber": "808-261-6749",
"EnumerationDate": "10/03/2006",
"LastUpdateDate": "11/22/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "G196174",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "11900",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}