Individual provider Active NPI

Bradley John Kuo, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1528487121
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1741 Issued in HI
Practice address
1188 Bishop St Ste 2602
Honolulu, HI 96813-3310
Phone
(808) 379-6656
NPI assigned
Apr 10, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1741 HI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1741 HI Primary

Addresses

Primary practice location

1188 Bishop St Ste 2602
Honolulu, HI 96813-3310

Mailing address

1188 Bishop St Ste 2602
Honolulu, HI 96813-3310
Phone (808) 379-6656

Other practice location 1

135 S Wakea Ave Ste 213
Kahului, HI 96732-1385
Phone (808) 379-6656

Other practice location 2

15-2903 Pahoa Village Rd
Pahoa, HI 96778
Phone (808) 379-6656

Other names 1

  • Mr. Bradley John Kane Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170310000759 HI Practitioner - Nurse Practitioner 9638452519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians
Wellness Partners Hawaii IncGroup PAC ID 4183018559, 15 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2499

1380 Lusitana St
Honolulu, HI 96813-2448

850 W Hind Dr
Suite 116
Honolulu, HI 96821-1845
Phone (808) 379-6656

91 -2127 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone (808) 691-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1741HIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Partners Hawaii PHP and Iop, LLC CurrentSince Jun 30, 2024 Accepting new patients
The Queens Medical Center CurrentSince Feb 15, 2017 Accepting new patients
Wellness Partners Arizona LLC Psychiatric/Mental Health Current Accepting new patients
The Queen's Medical Center CurrentSince Feb 15, 2017 Accepting new patients
Wellness Partners Hawaii Inc Psychiatric/Mental Health CurrentSince Jan 1, 2019 Accepting new patients
Queens University Medical Group CurrentSince Jun 13, 2025 Accepting new patients
John J Cogan MD Inc Past Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

6700 Kalanianaole Hwy
Ste 201
Honolulu, HI 96825
Phone (808) 264-4915

850 W Hind Dr
Ste 116
Honolulu, HI 96821
Phone (808) 379-6656

Interoperability endpoints

  • Direct secure messaging: bradley.kuo@866342983172100.direct.elationemr.com

Organizations & group practices 7

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 1

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528487121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 2602",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133310",
            "telephone_number": "808-379-6656",
            "fax_number": "844-456-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 2602",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133310",
            "telephone_number": "808-379-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 S Wakea Ave Ste 213",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967321385",
            "country_code": "US",
            "telephone_number": "808-379-6656",
            "fax_number": "844-456-1151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15-2903 Pahoa Village Rd",
            "address_purpose": "LOCATION",
            "city": "Pahoa",
            "state": "HI",
            "postal_code": "96778",
            "country_code": "US",
            "telephone_number": "808-379-6656",
            "fax_number": "844-456-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUO",
        "first_name": "BRADLEY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1741",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "1741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADLEY",
            "last_name": "KANE",
            "middle_name": "JOHN",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.