Active NPI
Robert Thomas Bonham, MD
- General Practice Physician
- Waianae, HI
National Provider Identifier
1366547408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD-5179
- Practice address
- 86-260 Farrington Hwy
Waianae, HI 96792-3128 - Phone
- (808) 696-7081
- Fax
- (808) 696-7093
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD-5179 | HI | |
| General Practice Physician | 208D00000X | MD-5179 | HI | Primary |
Addresses
Primary practice location
86-260 Farrington Hwy
Waianae, HI 96792-3128
Mailing address
55 S Judd St
Apt. 2110
Honolulu, HI 96817-2633
Phone (808) 524-4771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1366547408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 S JUDD ST",
"address_2": "APT. 2110",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172633",
"telephone_number": "808-524-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86-260 FARRINGTON HWY",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923128",
"telephone_number": "808-696-7081",
"fax_number": "808-696-7093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONHAM",
"first_name": "ROBERT",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "MD-5179",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "MD-5179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waianae, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.