Provider Demographics
NPI:1063517233
Name:ROBINSON, BERNARD (MD)
Entity type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-944 KAHAPILI STREET
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:00009-6701
Mailing Address - Country:US
Mailing Address - Phone:808-488-8698
Mailing Address - Fax:808-488-8698
Practice Address - Street 1:91-2139 FORT WEAVER RD
Practice Address - Street 2:SUITE 210
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-3607
Practice Address - Country:US
Practice Address - Phone:808-680-0554
Practice Address - Fax:808-680-0500
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-4524207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery