Big Island Medical, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

PMP431 Issued in HI

Legal business name

BIG ISLAND MEDICAL, INC.

Practice address

81-6645 Mamalahoa Hwy
Kealakekua, HI 96750-8190

Phone

(808) 323-3313

Fax

(808) 322-9281

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Denise R Korczyk

Title

President

Phone

(808) 323-3313

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1962467019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81-6645 MAMALAHOA HWY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508190",
            "telephone_number": "808-323-3313",
            "fax_number": "808-322-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-6645 MAMALAHOA HWY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508190",
            "telephone_number": "808-323-3313",
            "fax_number": "808-322-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG ISLAND MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "KORCZYK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-323-3313"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "HI",
            "license": "PMP431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "571762-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000256594",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Berinobis
• Kaylin Gabrielle Bersamin, PA-C
• Michael W. Beshoner, M.D.
• Ken Bevis
• Big Island Internal Medicine, Inc
• Bradon Kimura MD Inc
• Marcia Bradley Branca, MFT
• Bridge House, Inc.
• Hannah Alexis Brunson, DPT,PT
• Raphael Hector Buencamino, MD PHD

• All providers in Kealakekua, HI
• Oxygen Equipment & Supplies (DME) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.