Individual provider Active NPI

Brendon Michael Friedman, DNP, MBA, APRN-RX

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1073055752
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2202 Issued in HI
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2202HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Clinical Education & Research Associates CurrentSince Apr 9, 2025 Accepting new patients
B Wellness Services LLC CurrentSince Jul 24, 2022 Accepting new patients
University Clinical Education & Research Associates CurrentSince Apr 9, 2025 Accepting new patients
Hawaii Depression Clinic CurrentSince Oct 25, 2023 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.

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

Verify at the official NPI Registry.