Organization Active NPI

Daniel F Brandt MD Inc

  • Rheumatology Physician
  • Honolulu, HI
National Provider Identifier
1437402104
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD15707 Issued in HI
Legal business name
DANIEL F BRANDT MD INC
Practice address
405 N Kuakini St Ste 1104
Honolulu, HI 96817-6301
Phone
(808) 528-4577
Fax
(808) 888-0988
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Dr. Lisa Kim, M.D.
Title
Office Manager
Phone
(808) 282-8036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X MD15707 HI Primary

Addresses

Primary practice location

405 N Kuakini St Ste 1104
Honolulu, HI 96817-6301

Mailing address

405 N Kuakini St Ste 1104
Honolulu, HI 96817-6301
Phone (808) 528-4577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130124000388 HI Part B Supplier - Clinic/Group Practice 1456505544 Receives reassigned benefits from 1 practitioner
Practice locations: Wailuku, HI; Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1520 Liliha St
Ste 701
Honolulu, HI 96817
Phone (808) 445-3234

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1437402104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 1104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176301",
            "telephone_number": "808-528-4577",
            "fax_number": "808-888-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 1104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176301",
            "telephone_number": "808-528-4577",
            "fax_number": "808-888-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL F BRANDT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-282-8036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "HI",
            "license": "MD15707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.