ADVANCED ENT NPI 1225847056

NPI Information

  • NPI: 1225847056
  • Provider Name: ADVANCED ENT
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 411 STONE WOOD DR
    BROKEN ARROW, OK
    ZIP 74012
  • Phone: (918) 924-5917

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NPI Details

ADVANCED ENT is an otolaryngology/facial plastic surgery otolaryngology in Broken Arrow, OK. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. ADVANCED ENT NPI is 1225847056. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

411 STONE WOOD DR
BROKEN ARROW, OK
ZIP 74012-026
Phone: (918) 924-5917

The provider's authorized official is Bradley Russell Mons .
The authorized official title is Physician and has the following contact phone number (918) 863-6275.

The enumeration date for this NPI number is 1/6/2025 and was last updated on 5/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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