BRENT BREWER PHYSICIAN ASSISTANT
NPI 1316189087
Physician Assistant in Pryor, OK

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
231 E GRAHAM AVE, PRYOR, OK 74361(918) 825-1405 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Dec 18, 2017, Dec 22, 2016 (3 updates tracked since 2016).

About Brent Brewer Physician Assistant NPPES

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

BRENT BREWER PHYSICIAN ASSISTANT (NPI 1316189087) is an individual physician assistant in Pryor, Oklahoma, licensed in Oklahoma (2737) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316189087
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRENT BREWERCredential: PHYSICIAN ASSISTANT
Location Address231 E GRAHAM AVEPryor, OK 74361-2436
Mailing Address231 E Graham AvePryor, OK 74361-2436 · (918) 825-1405
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 27, 2009
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1316189087 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 OK · 2737
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.

231 E GRAHAM AVE, Pryor, OK 74361

Secondary Practice Location 1

Location 12025 E 71st StTulsa, OK 74136-5407 · Phone (918) 561-6642

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brent Brewer Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284918822
PECOS Enrollment IDI20170228000775
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Counselor (Professional)
231 E GRAHAM AVE
PRYOR, OK 74361
Counselor (Mental Health)
231 E GRAHAM AVE
PRYOR, OK 74361
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Counselor (Mental Health)
231 E GRAHAM AVE
PRYOR, OK 74361
Counselor (Mental Health)
231 E GRAHAM AVE, MAYES COUNTY CLINIC
PRYOR, OK 74361
Counselor (Mental Health)
231 E GRAHAM AVE
PRYOR, OK 74361
Counselor (Mental Health)
231 E GRAHAM AVE
PRYOR, OK 74361

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316189087, enumerated as an "individual" on March 27, 2009.

The provider is located at 231 E GRAHAM AVE PRYOR, OK 74361 and the phone number is (918) 825-1405.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma and Medica. Please consult your insurance carrier or call the provider to verify.