Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brent Leong Lum, MD

Individual provider Ophthalmology Physician · NPI 1891954772

Dr. Brent Leong Lum, MD is an Ophthalmology in Modesto, California. Graduated from University of California, Davis School of Medicine in 2007, 19 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
19
Trained at
University of California, Davis School of Medicine
Licensed in
CA, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4601 Dale Rd
Modesto, CA 95356-9718
Phone: (209) 476-3484
Fax: (209) 476-3012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence A116550 (CA)
Ophthalmology Physician Taxonomy 207W00000X · Licence BP1-0032047 (TX)

Record details

NPI number1891954772
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2008
Last updated in NPPESDecember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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