Provider Demographics
NPI:1073655221
Name:BERINGER, WILLIAM F (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:BERINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 AULIKE ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2758
Mailing Address - Country:US
Mailing Address - Phone:808-744-6638
Mailing Address - Fax:808-261-1425
Practice Address - Street 1:40 AULIKE ST STE 317
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2757
Practice Address - Country:US
Practice Address - Phone:808-744-6638
Practice Address - Fax:808-261-1425
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1761207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200113280AMedicaid
OK$$$$$$$$$001OtherBCBS
OK200113280AMedicaid
OK243721107Medicare PIN