Bong Jik Kim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MDR-9039 Issued in HI

Practice address

89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160

Phone

(808) 697-3900

Fax

(808) 697-3930

NPI assigned

Jul 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bongjik.kim.p1@direct.wcchc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waianae District Comprehensive Health and Hospital Board, Inc

  • Family Medicine Physician
  • Waianae, HI
  • NPI 1275566424
  Medicare reassignment NPD
• Waianae District Comprehensive Health and Hospital Board, Inc

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
  • NPI 1942673264
  NPD
• Waianae District Comprehensive Health and Hospital Board, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
  • NPI 1710709365
  NPD

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1891179024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89-102 FARRINGTON HWY UNIT 3000",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967924160",
            "telephone_number": "808-697-3900",
            "fax_number": "808-697-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-102 FARRINGTON HWY UNIT 3000",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967924160",
            "telephone_number": "808-697-3900",
            "fax_number": "808-697-3930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 North Medical Drive 3C120",
            "address_2": "Otolaryngology Administration Office",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84132",
            "country_code": "US",
            "telephone_number": "801-581-7514",
            "fax_number": "801-585-5744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "BONG JIK",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MDR-9039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Louise Kershaw
• Zubeida S Khan, M.D.
• Ellen Kielbasa, LCSW
• Nicole Kila
• Eucabeth A Kilonzo, APRN
• Kasha Kim, PSYD
• Cynthia Delores King, RDN, LDN, CDE
• Kingdom Chiropractic
• Supriya Koirala, DMD
• Kokua Villa, Inc.

• Family Medicine Physician in Waianae, HI
• Providers in Waianae, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.