1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Physician Assistant
  6. NPI Profile

JASPER BRAYTON TERRY PA-C
NPI 1306149935
Physician Assistant in Albuquerque, NM

Active since December 21, 2010
1100 CENTRAL AVE SE, PMG EMERGENCY MEDICINE, ALBUQUERQUE, NM 87106(505) 841-1125(505) 841-1737 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jasper Brayton Terry Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASPER BRAYTON TERRY PA-C (NPI 1306149935) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2010-0080) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1306149935
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJASPER BRAYTON TERRYCredential: PA-C
Location Address1100 CENTRAL AVE SE, PMG EMERGENCY MEDICINEAlbuquerque, NM 87106-4930
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 841-1125
Fax(505) 841-1737
Sole ProprietorNo
Enumeration DateDecember 21, 2010
Last NPPES UpdateNovember 6, 2015
✔ NPI 1306149935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NM · PA2010-0080
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 CENTRAL AVE SE, Albuquerque, NM 87106
Open in Google Maps ↗

Other Identifiers 1

Medicaid71122842NM

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDRA DAWN CLEMENS PA-C
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
STEFANIE LEIGH RAITT PHARMD, PHC
Pharmacist (Pharmacotherapy)
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 681-4154
SARAH VERTREES D.O.
Pediatrics
1100 CENTRAL AVE SE, PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1819
NICHOLAS WEISS D.O.
Emergency Medicine
1100 CENTRAL AVE SE, EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1125
LUKE EZEKIEL GLAZENER PA-C
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1125
SARAH LEW
Student in an Organized Health Care Education/Training Program
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1234
NATALEE TRUEBA CCHW
Community Health Worker
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 554-8161
PATRICIA HERSON C.R.N.P.
Nurse Practitioner (Gerontology)
1100 CENTRAL AVE SE, PALLIATIVE CARE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 252-7393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasper Terry's NPI number?

The NPI number for Jasper Terry is 1306149935. It was assigned to this individual provider in the NPPES registry on December 21, 2010.

Where is Jasper Terry located?

Jasper Terry practices at 1100 Central Ave SE Pmg Emergency Medicine, Albuquerque, NM 87106. The listed phone number is (505) 841-1125.

What is Jasper Terry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jasper Terry was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.