Individual provider Active NPI

Kristopher Kazuo Bjornson, M.D.

  • Psychiatry Physician
  • Haleiwa, HI
National Provider Identifier
1891809109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD12386 Issued in HI
Practice address
66-125 Kamehameha Hwy
Haleiwa, HI 96712-1420
Phone
(808) 637-5111
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD12386 HI Primary

Addresses

Primary practice location

66-125 Kamehameha Hwy
Haleiwa, HI 96712-1420

Mailing address

66-125 Kamehameha Hwy
Haleiwa, HI 96712-1420

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
I20040405000891 HI Practitioner - PsychiatryPractitioner - Addiction Medicine 4082607452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

66-125 Kamehameha Hwy
Haleiwa, HI 96712-1601
Phone (808) 225-0725

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12386HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristopher Bjornson, MD, LLC Psychiatry CurrentSince Aug 31, 2007 Accepting new patients

Locations

66-125 Kamehameha Hwy
Haleiwa, HI 96712
Phone (808) 225-0725

500 Ala Moana Blvd
Bldg 7
Honolulu, HI 96813
Phone (808) 536-9368

95-1249 Meheula Pkwy
#B10
Mililani, HI 96789
Phone (808) 225-0725

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891809109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-125 KAMEHAMEHA HWY",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121420"
        },
        {
            "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": {
        "last_name": "BJORNSON",
        "first_name": "KRISTOPHER",
        "middle_name": "KAZUO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD12386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

Verify at the official NPI Registry.