Active NPI
Brenden James Kim, D.C., M.S.
- Sports Physician Chiropractor
- Aiea, HI
National Provider Identifier
1699045815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC-1222
- Practice address
- 98-027 Hekaha St
Unit 17
Aiea, HI 96701-4910 - Phone
- (808) 487-2273
- Fax
- (808) 356-0337
- NPI assigned
- Jan 4, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC-1222 | HI | Primary |
Addresses
Primary practice location
98-027 Hekaha St
Unit 17
Aiea, HI 96701-4910
Mailing address
98-027 Hekaha St
Unit 17
Aiea, HI 96701-4910
Phone (808) 487-2273
Other names 1
- Dr. Brenden James Leomo
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1699045815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-027 HEKAHA ST",
"address_2": "UNIT 17",
"city": "AIEA",
"state": "HI",
"postal_code": "967014910",
"telephone_number": "808-487-2273",
"fax_number": "877-227-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-027 HEKAHA ST",
"address_2": "UNIT 17",
"city": "AIEA",
"state": "HI",
"postal_code": "967014910",
"telephone_number": "808-487-2273",
"fax_number": "808-356-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "BRENDEN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-04",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "HI",
"license": "DC-1222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDEN",
"last_name": "LEOMO",
"middle_name": "JAMES",
"prefix": "DR.",
"credential": "D.C., M.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.