Organization Active NPI

Oakland ENT PLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • West Bloomfield, MI
National Provider Identifier
1104334630
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
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

Updated by the provider on Mar 17, 2018

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)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.