Active NPI
Oakland ENT PLC
- Otolaryngology/Facial Plastic Surgery Physician
- West Bloomfield, MI
National Provider Identifier
1104334630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- Legal business name
- OAKLAND ENT PLC
- Practice address
- 6900 Orchard Lake Rd Ste 314
West Bloomfield, MI 48322-3457 - Phone
- (248) 855-7530
- Fax
- (248) 855-5639
- NPI assigned
- Jan 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Melissa McBrien, MD
- Title
- Owner/Physician
- Phone
- (248) 855-7530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Primary |
Addresses
Primary practice location
6900 Orchard Lake Rd Ste 314
West Bloomfield, MI 48322-3457
Mailing address
6900 Orchard Lake Rd Ste 314
West Bloomfield, MI 48322-3457
Phone (248) 855-7530
Other practice location 1
4600 Investment Dr Ste 170
Troy, MI 48098-6369
Phone (248) 267-5004
National Provider Directory
National Provider DirectoryLocations
4600 Investment Dr
Ste 360
Troy, MI 48098
Phone (248) 267-5004
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Warren, MI
- NPI 1043257801
-
- Otolaryngology Physician
- Troy, MI
- NPI 1356324503
-
- Otolaryngology Physician
- West Bloomfield, MI
- NPI 1578554424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1104334630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 ORCHARD LAKE RD STE 314",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223457",
"telephone_number": "248-855-7530",
"fax_number": "248-855-5639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 ORCHARD LAKE RD STE 314",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223457",
"telephone_number": "248-855-7530",
"fax_number": "248-855-5639"
}
],
"practiceLocations": [
{
"address_1": "4600 Investment Dr Ste 170",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480986369",
"country_code": "US",
"telephone_number": "248-267-5004",
"fax_number": "248-267-5007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OAKLAND ENT PLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-18",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "MCBRIEN",
"authorized_official_first_name": "MARY MELISSA",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "248-855-7530",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.