Individual provider Active NPI

Adriann Bruce, MD

  • Family Medicine Physician
  • Kapaia, HI
National Provider Identifier
1831578764
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-19731 Issued in HI
Practice address
4800 Suite D Kawaihau Road
Kapaia, HI 96746
Phone
(808) 240-0170
Fax
(808) 822-9298
NPI assigned
May 26, 2015
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-19731 HI Primary

Addresses

Primary practice location

4800 Suite D Kawaihau Road
Kapaia, HI 96746

Mailing address

4800 D Kawaihau Road
Kapaia, HI 96746
Phone (808) 240-0170

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180905002248 HI Practitioner - Family Practice 0547510919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoola Lahui HawaiiGroup PAC ID 2860303021, 12 clinicians

Practice addresses (Care Compare)

4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-1855

PO Box
Suite 487
Waimea, HI 96796

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.96 of 100Reported as group
Quality
47.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hoola Lahui Hawaii CurrentSince Apr 18, 2022 Accepting new patients
Hoola Lahui Hawaii CurrentSince Apr 18, 2022 Accepting new patients

Locations

4800 Kawaihau Rd
Ste D
Kapaa, HI 96746
Phone (808) 240-0170

Organizations & group practices 2

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 2

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1831578764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 D KAWAIHAU ROAD",
            "city": "KAPAIA",
            "state": "HI",
            "postal_code": "96746",
            "telephone_number": "808-240-0170",
            "fax_number": "808-822-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SUITE D KAWAIHAU ROAD",
            "city": "KAPAIA",
            "state": "HI",
            "postal_code": "96746",
            "telephone_number": "808-240-0170",
            "fax_number": "808-822-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "ADRIANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-19731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "Kaiser Lihue Clinic",
            "address_2": "4366 Kukui Grove St Ste 101",
            "city": "Lihue",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967662006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.