Active NPI
Brendon Michael Friedman, DNP, MBA, APRN-RX
- Family Nurse Practitioner
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2202
- Practice address
- 1019 University Ave Ste 6a
Honolulu, HI 96826-1509 - Phone
- (808) 214-7236
- Fax
- (808) 427-3589
- NPI assigned
- Nov 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2202 | HI | Primary |
Addresses
Primary practice location
1019 University Ave Ste 6a
Honolulu, HI 96826-1509
Mailing address
2838 E Manoa Rd
Honolulu, HI 96822-1822
Phone (808) 214-7236
Other practice location 1
1650 Liliha St
Suite 107
Honolulu, HI 96817-3169
Phone (808) 214-7236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231129001625 | HI | Practitioner - Nurse Practitioner | 2264880483 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Clinical Education & Research Associates | Current | Accepting new patients | |
| B Wellness Services LLC | Current | Accepting new patients | |
| University Clinical Education & Research Associates | Current | Accepting new patients | |
| Hawaii Depression Clinic | Current | Accepting new patients |
Locations
99-128 Aiea Heights Dr
Ste 109
Aiea, HI 96701
Phone (808) 492-1621
98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301
1019 University Ave
Ste 6A
Honolulu, HI 96826
Phone (808) 214-7236
651 Ilalo St
#102
Honolulu, HI 96813
Phone (808) 692-1310
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Honolulu, HI
- NPI 1215458344
-
- Clinical Medical Laboratory
- Honolulu, HI
- NPI 1659971489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073055752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2838 E MANOA RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968221822",
"telephone_number": "808-214-7236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 UNIVERSITY AVE STE 6A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261509",
"telephone_number": "808-214-7236",
"fax_number": "808-427-3589"
}
],
"practiceLocations": [
{
"address_1": "1650 Liliha St",
"address_2": "Suite 107",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968173169",
"country_code": "US",
"telephone_number": "808-214-7236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "BRENDON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DNP, MBA, APRN-RX",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "2202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.