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NPI · 1104366574 · NPPES-sourced

Jacob Burdett DO

ActiveOtolaryngology Physician
NPI Number
1104366574
Type 1 · Individual
Taxonomy Code
207Y00000X
Contact
(918) 502-9555
License OK · 7558
Last Updated
Enumerated
Primary practice addressOK · 74136-7818
6475 S Yale Ave Ste 401Tulsa, OK 74136-7818
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About this NPIWhat this record shows.

NPI 1104366574 is registered to Jacob Burdett DO, a Otolaryngology Physician practising at 6475 S Yale Ave Ste 401 in Tulsa, Oklahoma. Otolaryngology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jacob Burdett DO has been enumerated in the National Provider Identifier (NPI) registry since 2017.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jacob Burdett DO accepts. To confirm in-network status with your specific health plan, contact Jacob Burdett DO directly at (918) 502-9555.

Frequently asked

Yes. NPI 1104366574 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Otolaryngology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (918) 502-9555.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jacob Burdett DO is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Y00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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Same specialtyOther Otolaryngology Physician providers in Oklahoma.

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