Provider Demographics
NPI:1154818557
Name:HUM, BRENDAN LOK MAN (MD)
Entity type:Individual
Prefix:MR
First Name:BRENDAN
Middle Name:LOK MAN
Last Name:HUM
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1900 N. HIGLEY ROAD
Mailing Address - Street 2:ATTN: AMANDA GUMP/HOSPITALIST TEAM
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234
Mailing Address - Country:US
Mailing Address - Phone:520-381-6460
Mailing Address - Fax:520-381-6068
Practice Address - Street 1:1800 E. FLORENCE BLVD
Practice Address - Street 2:ATTN: AMANDA GUMP/HOSPITALIST TEAM
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122
Practice Address - Country:US
Practice Address - Phone:520-381-6460
Practice Address - Fax:520-381-6068
Is Sole Proprietor?:No
Enumeration Date:2018-04-20
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
AZ62397207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine