Individual provider Active NPI

Bradley Kaipoleimanu Lee, M.D.

  • Family Medicine Physician
  • Kapolei, HI
National Provider Identifier
1366508277
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD11284 Issued in HI
Practice address
590 Farrington Hwy
Unit 526a
Kapolei, HI 96707-2034
Phone
(808) 674-2930
Fax
(808) 674-2950
NPI assigned
Dec 28, 2006
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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 MD11284 HI Primary

Addresses

Primary practice location

590 Farrington Hwy
Unit 526a
Kapolei, HI 96707-2034

Mailing address

590 Farrington Hwy
Unit 526a
Kapolei, HI 96707-2034
Phone (808) 674-2930

Other identifiers 1

IdentifierTypeStateIssuer
50100815MedicaidHI

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
I20040416001446 HI Practitioner - Family Practice 9638068539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kapolei Family Medical Center IncGroup PAC ID 7315836202, 5 clinicians
Molokai General HospitalGroup PAC ID 2264322874, 13 clinicians

Practice addresses (Care Compare)

590 Farrington Hwy
Unit 526a
Kapolei, HI 96707-2034
Phone (808) 674-2930

PO Box
Suite 408
Kaunakakai, HI 96748

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Molokai General Hospital CurrentSince Apr 1, 2025 Accepting new patients
Kapolei Family Medical Center, Inc. Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Molokai General Hospital CurrentSince Apr 1, 2025 Accepting new patients
Emergency Medical Care West Past Accepting new patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 Accepting new patients

Locations

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

590 Farrington Hwy
Unit 526A
Kapolei, HI 96707
Phone (808) 425-2376

Organizations & group practices 5

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 3

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1366508277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY",
            "address_2": "UNIT 526A",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072034",
            "telephone_number": "808-674-2930",
            "fax_number": "808-674-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY",
            "address_2": "UNIT 526A",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072034",
            "telephone_number": "808-674-2930",
            "fax_number": "808-674-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRADLEY",
        "middle_name": "KAIPOLEIMANU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD11284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50100815",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.