BRENT BREWER (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1316189087

BRENT BREWER (PHYSICIAN ASSISTANT) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 2737 (OK). The NPI Number for BRENT BREWER (PHYSICIAN ASSISTANT) is 1316189087

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BRENT BREWER (PHYSICIAN ASSISTANT)
NPI
1316189087
Phone
(918) 561-6642
Address
2025 E 71st St
Enumeration Date
27 March 2009
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183420770
Graduation Year
2016 (10 years ago)
PAC ID
4284918822
Group Practice PAC ID
4688711534
Professional Enrollment ID
I20170228000775
Address ID
OK740171088CL3100XPKWY300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for BRENT BREWER (PHYSICIAN ASSISTANT)

  • 2025 E 71st St

    Tulsa, OK 741365407

    Phone: (918) 561-6642

    Type: Location

  • 231, East Graham Avenue, Pryor Creek, Mayes County, Oklahoma, 74361, United States

    PRYOR, OK 743612436

    Phone: (918) 825-1405

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $535.

Total Amount is formed as General ($535) + Research ($0) + Ownership ($0) = $535.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($132).

Total Amount

$535

General + Research + Ownership

Payments

21

Total payment records

General Amount

$535

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170228000775IPhysician AssistantOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688711534View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Mental Health CounselorOK
-OK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
-OK
Mental Health CounselorOK
Mental Health CounselorKS
Marriage And Family TherapistOK

Reviews

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Frequently asked questions

Is there an official ID for BRENT BREWER (PHYSICIAN ASSISTANT) in U.S. healthcare records?
The official identifier for BRENT BREWER (PHYSICIAN ASSISTANT) is NPI 1316189087.
Would BRENT BREWER (PHYSICIAN ASSISTANT) appear as active to a payer?
You can treat BRENT BREWER (PHYSICIAN ASSISTANT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for BRENT BREWER (PHYSICIAN ASSISTANT)?
At a glance, BRENT BREWER (PHYSICIAN ASSISTANT) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is BRENT BREWER (PHYSICIAN ASSISTANT) registered?
Use Tulsa, Oklahoma as the headline location for BRENT BREWER (PHYSICIAN ASSISTANT) here.
Does BRENT BREWER (PHYSICIAN ASSISTANT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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