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JACK BRADLEY SMITH PA
NPI 1528036704
Physician Assistant in Oklahoma City, OK

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
4401 W MEMORIAL RD, OKLAHOMA CITY, OK 73134(405) 751-4664(405) 749-4561 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Nov 12, 2025 (2 updates tracked since 2025).

About Jack Bradley Smith Pa NPPES

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

JACK BRADLEY SMITH PA (NPI 1528036704) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (1155) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1528036704
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK BRADLEY SMITHCredential: PA
Location Address4401 W MEMORIAL RDOklahoma City, OK 73134-1785
Mailing Address18432 Wild Horse TrlNorman, OK 73072-9603 · (405) 760-0560
Phone(405) 751-4664
Fax(405) 749-4561
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 14, 2006
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1528036704 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 · 1155
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.
4401 W MEMORIAL RD, Oklahoma City, OK 73134
Open in Google Maps ↗

Secondary Practice Locations 9

Location 11000 N Lee AveOklahoma City, OK 73102-1036 · Phone (405) 272-7000
Location 25200 E I 240 Service RdOklahoma City, OK 73135-2607 · Phone (405) 628-6000
Location 34050 W Memorial RdOklahoma City, OK 73120-8382 · Phone (405) 608-3800
Location 4201 S Sara RdMustang, OK 73064-4306 · Phone (405) 376-4505
Location 52115 Parkview DriveEl Reno, OK 73036-0000 · Phone (405) 262-2640
Location 613500 S Tulsa DrOklahoma City, OK 73170-9719 · Phone (405) 815-5600
Location 7700 NE 13th StOklahoma City, OK 73104-5004 · Phone (405) 271-5321
Location 813401 N Western AveOklahoma City, OK 73114-1408 · Phone (405) 252-3400
Location 93400 S Douglas BlvdOklahoma City, OK 73150-1001 · Phone (405) 815-5600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Jack Bradley Smith Pa 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 ID2466344510
PECOS Enrollment IDI20040325000815
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
64 services16 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services38 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
36 services36 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370234
Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73134 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 11

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

DR. RYAN JAMES FRENCH D.C.
Chiropractor
4401 W MEMORIAL RD, SUITE 137
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 286-6300
TERESA K DAVIS DDS
Dentist (General Practice)
4401 W MEMORIAL RD, SUITE 135
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 751-5515
PATRICK CROWLEY, DDS, PLLC
Dentist (General Practice)
4401 W MEMORIAL RD, SUITE #135
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 751-5515
LIVE WELL FAMILY CHIROPRACTIC
Chiropractor
4401 W MEMORIAL RD, SUITE 137
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 286-6300
TERESA K DAVIS DDS PLLC
Dentist (General Practice)
4401 W MEMORIAL RD, SUITE 135
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 751-5515
MARK L. YOUNGKER, DDS, MS, INC.
Specialist
4401 W MEMORIAL RD, SUITE 113
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 752-0300
MRS. DONNA S ROBILLARD MSW, LCSW
Social Worker (Clinical)
4401 W MEMORIAL RD, SUITE 143
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 486-8600
DR. LEANN GRAHAM PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4401 W MEMORIAL RD
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 936-5800

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 Jack Smith's NPI number?

The NPI number for Jack Smith is 1528036704. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Jack Smith located?

Jack Smith practices at 4401 W Memorial Rd, Oklahoma City, OK 73134. The listed phone number is (405) 751-4664.

What is Jack Smith's specialty?

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

Is Jack Smith enrolled in Medicare?

Yes. Jack Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Smith accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Jack Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jack Smith affiliated with any hospitals?

According to CMS data, Jack Smith is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and Oklahoma Heart Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Jack Smith was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.