BRAD K BENNETT (NPI# 1184875957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184875957 |
| Entity Type | Individual |
| Full Name | BRAD K BENNETT |
| Credential | MED |
| Practice Address |
91-1841 Fort Weaver Rd Ewa Beach HI 96706-1909 |
| Practice Telephone | 8086813500 |
| Practice Fax Number | 8086811486 |
| Mailing Telephone | 8086813500 |
| Mailing Fax Number | 8086811486 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154706182 | Brad Bennett | Dentist | 554 Keily St, Bumed Centralized Cred & Privileging, Jacksonville, FL 32212 | 2015-07-20 |
| 1558454124 | Brad Bennett | Psychologist | 7325 State Route 5, Clinton, NY 13323-3435 | 2006-10-02 |
| Street Address |
91-1841 FORT WEAVER RD |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801937156 | Kai Patrick Mcbride | Counselor | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2007-02-09 |
| 1295347524 | Garret K. Takahashi | Student in an Organized Health Care Education/Training Program | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-08-18 |
| 1295346278 | Ketsy Karen Anderson | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-08-12 |
| 1568084994 | Melissa Harper-osai | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-05-07 |
| 1043830581 | Keith Hiromi Takeshita | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-04-24 |
| 1669091757 | Trudy O'brien | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-04-09 |
| 1639705411 | Julia Char | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-03-12 |
| 1851926646 | Suzanne Torres | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-03-11 |
| 1285269134 | Aneterica Pola | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-03-10 |
| 1144853839 | Mila Ramos | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084994 | Melissa Harper-osai | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-05-07 |
| 1588204184 | Haydee Jutz | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-01-10 |
| 1144876368 | Cheyenne Brock-kuanoni | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2019-08-13 |
| 1508368796 | Tamara Strawder | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2018-03-02 |
| 1780197947 | Gerika Kaopua | Case Manager/Care Coordinator | 91-2301 Fort Weaver Rd, Ewa Beach, HI 96706-3602 | 2017-11-09 |
| 1295105815 | Valerie Hookano | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2015-09-25 |
| 1538555362 | Melanie Tablit | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2015-04-08 |
| 1891184008 | Tanya Pearce | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2015-01-12 |
| 1417355173 | Jennifer Vosberg | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2014-12-11 |
| 1053717405 | Marie Drumeller | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2014-11-12 |
| Find all providers in EWA BEACH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.