Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alen Munson Fuller, MD

Individual provider Otolaryngology Physician · NPI 1164422408

Alen Munson Fuller, MD is an Otolaryngology in Tulsa, Oklahoma. Graduated from University of Oklahoma College of Medicine in 1961, 65 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
65
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1725 E 19th St Ste 100
Tulsa, OK 74104-5437
Phone: (918) 742-7376
Fax: (918) 743-2117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 7801 (OK)

Record details

NPI number1164422408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 28, 2005
Last updated in NPPESJuly 8, 2007
Mailing address1725 E 19th St, Suite 100, Tulsa, OK 74104-5437

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 1961 (65 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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