JERRY BRAZIEL P.A.-C
NPI 1528462603
Physician Assistant - Medical in Fairview, OK

Q: What is Jerry Braziel's NPI number?

The NPI number for Jerry Braziel is 1528462603. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Q: What is Jerry Braziel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Braziel was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 17, 2014PECOS EnrolledAccepts Medicare Assignment

519 E STATE RD, FAIRVIEW, OK 73737(580) 227-2585 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2019, Oct 30, 2018, Jul 6, 2018 and 5 more (8 updates tracked since 2015).

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About Jerry Braziel P.a.-c NPPES

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

JERRY BRAZIEL P.A.-C (NPI 1528462603) is an individual medical provider in Fairview, Oklahoma, licensed in Oklahoma (2442) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528462603

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJERRY BRAZIELCredential: P.A.-C

Location Address519 E STATE RDFairview, OK 73737-1458

Mailing Address714 Ninnekah StEnid, OK 73701-5201 · (580) 603-1762

Phone(580) 227-2585

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 17, 2014

Last NPPES UpdateOctober 3, 20198 updates tracked since enumeration

✔ NPI 1528462603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OK · 2442

519 E STATE RD, Fairview, OK 73737

Open in Google Maps ↗

Other Identifiers 1

Medicaid200574140AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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

Jerry Braziel P.a.-c 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 ID8527383595

PECOS Enrollment IDI20150216000090

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.

Hospital Affiliations CMS Care Compare 2

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

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK

4/5 CMS rating

OwnershipProprietary

CMS Certification Number370026

Location305 South 5th StreetEnid, OK 73701 · Garfield County

Emergency services Birthing friendly

Fairview Regional Medical Center Authority

Critical Access Hospitals · Fairview, OK

OwnershipGovernment - Hospital District or Authority

CMS Certification Number371329

Location523 East State RoadFairview, OK 73737 · Major County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers29 claims29 services$20.53 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers29 claims29 services$115.08 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers19 claims1,950 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers16 claims16 services$25.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

FAIRVIEW REGIONAL MEDICAL CENTER

Clinic/Center