Individual provider Active NPI

Ashley Kong Brimley

  • Family Medicine Physician
  • Kapolei, HI
National Provider Identifier
1215381124
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD20404 Issued in HI
Practice address
599 Farrington Hwy Ste 100
Kapolei, HI 96707-2028
Phone
(808) 697-3800
Fax
(808) 674-9741
NPI assigned
Apr 17, 2016
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD20404 HI Primary

Addresses

Primary practice location

599 Farrington Hwy Ste 100
Kapolei, HI 96707-2028

Mailing address

599 Farrington Hwy Ste 100
Kapolei, HI 96707-2028
Phone (808) 697-3800

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031000467 HI Practitioner - Family Practice 2961734520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD20404HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Inc Family Medicine Current Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jul 28, 2019 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Jul 28, 2019 Accepting new patients

Locations

599 Farrington Hwy
Bldg 1
Kapolei, HI 96707

599 Farrington Hwy
Ste 100
Kapolei, HI 96707
Phone (808) 674-2930

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: ashley.kong.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1215381124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 100",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-697-3800",
            "fax_number": "808-674-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 100",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-697-3800",
            "fax_number": "808-674-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG BRIMLEY",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-17",
        "last_updated": "2022-04-07",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD20404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.