Kristopher Bjornson, MD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD 12386 Issued in HI

Legal business name

KRISTOPHER BJORNSON, MD, LLC

Practice address

66-125 Kamehameha Hwy
Haleiwa, HI 96712-1420

Phone

(808) 637-5111

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kristopher Kazuo Bjornson, MDNPI 1891809109

Title

Owner

Phone

(808) 637-5111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristopher Kazuo Bjornson, M.D.

  • Psychiatry Physician
  • Haleiwa, HI
  • NPI 1891809109
  Medicare reassignment NPD Authorized official
• Sheryl Paige Gardner, MD

  • Gynecology Physician
  • Mililani, HI
  • NPI 1861487753
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1659550648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62213",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968392213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-125 KAMEHAMEHA HWY",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121420",
            "telephone_number": "808-637-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTOPHER BJORNSON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "BJORNSON",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "KAZUO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-637-5111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD 12386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ned Nicolas Klein, AMFT
• Deborah Elizabeth Knapp, COTA
• Mari Kojima
• Angela Koranteng, RN
• Kristen Nelson
• Kuleana Physical Therapy and Wellness
• Megan Lade, D.C.
• Tara Lafrance, BCBA, LBA
• Larissa Cordeira PSYD LLC
• Lauren a. Reinert

• Psychiatry Physician in Haleiwa, HI
• Providers in Haleiwa, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.