IndividualActive
Bradley Glenn, MD
NPI 1043749872 · Family Medicine Physician · Wailuku, HI
Provider details
- NPI number
- 1043749872
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD-21314 (HI)
Mailing address
85 Maui Lani Pkwy
Wailuku, HI 96793-2416
Registry dates
- Enumerated
- 2017-06-06
- Last updated
- 2021-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.