Bradon Yoshio Kimura, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD5150 Issued in HI

Practice address

81-937 Halekii St
Suite 4
Kealakekua, HI 96750-8182

Phone

(808) 322-5001

Fax

(808) 322-3077

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Creighton University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Home health agency, Hilo, HI, CCN 127312
• Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10069/brand/1/csg/1/fhir/r4
• Direct secure messaging: bradon.kimura.1@10069.direct.athenahealth.com

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.

• Bradon Kimura MD Inc

  • Family Medicine Physician
  • Kealakekua, HI
  • NPI 1851574677
  Medicare reassignment NPD Authorized official

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

• B.C.P., Inc.

  • Home Health Agency
  • Hilo, HI
  • NPI 1851650618
  Care Compare affiliation
• Kona Hospital

  • General Acute Care Hospital
  • Kealakekua, HI
  • NPI 1952332991
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1356333512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81-937 HALEKII ST",
            "address_2": "SUITE 4",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508182",
            "telephone_number": "808-322-5001",
            "fax_number": "808-322-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-937 HALEKII ST",
            "address_2": "SUITE 4",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508182",
            "telephone_number": "808-322-5001",
            "fax_number": "808-322-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMURA",
        "first_name": "BRADON",
        "middle_name": "YOSHIO",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD5150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022021",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoebe Keeran, MA -COUNSELING PSYCH
• Annette Keliikoa
• Kent H. Nakamaru DDS Inc
• Heather Kent, APRN, FNP-BC
• Edwin Kim, D.D.S.
• Felicia Kimura
• Nathan C King, M.D.
• Wynette Y Kitajima, M.D.
• Rodger C. Kollmorgen, M.D.
• Matthew Kolosky, D.O

• Family Medicine Physician in Kealakekua, HI
• Providers in Kealakekua, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.