Bradley H. Koizumi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3321 Issued in HI

Practice address

1040 S King St
Suite 312
Honolulu, HI 96814-2117

Phone

(808) 591-8880

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268438400000",
    "number": "1730252685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S KING ST",
            "address_2": "SUITE 312",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142117",
            "telephone_number": "808-591-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S KING ST",
            "address_2": "SUITE 312",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142117",
            "telephone_number": "808-591-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOIZUMI",
        "first_name": "BRADLEY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04029201",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "004433-9",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari L Kogan, M.D.
• Joey Yoshio Kohatsu, M.D.
• Benjamin K. Koike, D.D.S
• John Masao Koike, D.M.D.
• Kimberly Koike
• Susan Koizumi, RPH
• Jessica H. Kojima
• Joyann Kojima
• Kryss Y. Kojima, M.D.
• Kelli Ann Kokame, MD

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.