MEDICARE: DR. DANIEL F BRANDT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	A88724	CA
2	207RR0500X	Rheumatology Physician	036.116317	IL
3	207RR0500X	Rheumatology Physician	MD-15707	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD-15707	OTHER	HI	MD- LIC

General Provider Information

NPI Number	:	1316929011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL F BRANDT M.D.

Provider Business Mailing Address
First Line	:	405 N KUAKINI ST STE 1104
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-6301
Country	:	US
Telephone Number	:	808-528-4577
Fax Number	:	808-888-0988

Provider Business Practice Location Address
First Line	:	405 N KUAKINI ST STE 1104
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-6301
Country	:	US
Telephone Number	:	808-528-4577
Fax Number	:	808-888-0988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	12/11/2023

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Directions to “ DR. DANIEL F BRANDT M.D.” Practice Location

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