Provider Demographics
NPI:1003918335
Name:GIORGIO, BERNARD WILBUR (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:WILBUR
Last Name:GIORGIO
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 1:98-1238 KAAHUMANU ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-3250
Mailing Address - Country:US
Mailing Address - Phone:808-487-1611
Mailing Address - Fax:808-484-0732
Practice Address - Street 1:98-1238 KAAHUMANU ST STE 200
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3250
Practice Address - Country:US
Practice Address - Phone:808-487-1611
Practice Address - Fax:808-484-0732
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-02937174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000043158OtherHMSA PROVIDER #
HI0000043158OtherHMSA PROVIDER #
HIBDFWXMedicare PIN