# BURT HUMBURG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013134469
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 39580 | IA | — |
| 207R00000X | Internal Medicine Physician | MD431085 | PA | Yes |
| 208D00000X | General Practice Physician | 0431207 | KS | — |
| 208D00000X | General Practice Physician | 47001 | MN | — |
| 208M00000X | Hospitalist Physician | MD431085 | PA | — |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 01/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100598 | GEISINGER HEALTH PLAN | PA |
| 01 | — | 1570857 | GATEWAY-WMG | PA |
| 01 | — | 20074392 | AMERIHEALTH MERCY-WMG | PA |
| 01 | — | 2024764 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 212420 | JOHNS HOPKINS | PA |
| 01 | — | 239828 | UNISON-WMG | PA |
| 01 | — | 263661 | UNISON-WMG GBH | PA |
| 01 | — | 50077200 | CAPITAL BLUE CROSS-WMG | PA |
| 01 | — | 50084012 | CAPITAL BLUE CROSS-WMG GBH | PA |
| 01 | — | 930841 | CAREFIRST MD BCBS | MD |
| 01 | — | 9989169 | AETNA | PA |