Black, Brandee S

Black, Brandee S is an individual health care provider with primary practice located at 30 Aulike St Ste 201 , Kailua HI 96734-2750. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Black, Brandee S can be contacted via phone (505) 933-4424.

Contact Information

Primary practice address
30 Aulike St Ste 201 Kailua HI 96734-2750
Phone: (505) 933-4424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD2015-0520 New Mexico
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 19841 Hawaii
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X DR.0060743 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD61425913 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD207442 Oregon

Profile Details

NPI number 1477864429
LBN Legal business name Black, Brandee S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2010
Last updated Dec 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477864429 NPPES
Washington MEDICAID 2231259

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