JERRY BRAZIEL (P.A.-C) – Medical Physician Assistant, NPI 1528462603

JERRY BRAZIEL (P.A.-C) is a healthcare provider. based in Enid, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. 2442 (OK). The NPI Number for JERRY BRAZIEL (P.A.-C) is 1528462603

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JERRY BRAZIEL (P.A.-C)
NPI
1528462603
Phone
(580) 297-5157
Address
915 E Owen K Garriott Rd Ste J
Enumeration Date
17 October 2014
Last Update Date
3 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
8527383595
Group Practice PAC ID
4183943186
Professional Enrollment ID
I20150216000090
Address ID
OK737371453FA523XXRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for JERRY BRAZIEL (P.A.-C)

  • 915 E Owen K Garriott Rd Ste J

    Enid, OK 73701

    Phone: (580) 297-5157

    Fax: (580) 297-5167

    Type: Location

  • 908 N Rockford Rd

    Ardmore, OK 73401

    Phone: (580) 226-7771

    Type: Location

  • 714 NINNEKAH ST

    ENID, OK 737015201

    Phone: (580) 603-1762

    Type: Mailing

  • 519 E STATE RD

    FAIRVIEW, OK 737371458

    Phone: (580) 227-2585

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-02-16

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
I20150216000090IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes152129$0
96372Injection of drug or substance under skin or into muscle10749$0
J1040Injection, methylprednisolone acetate, 80 mg5248$0
J1100Injection, dexamethasone sodium phosphate, 1 mg5248$0
81002Urinalysis, manual test1111$0
View full utilization report →

Insurance plans in this area (ZIP 73701)

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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: 4183943186View full group profile
NameSpecialtyState
Nurse PractitionerOK
Family PracticeOK
Physician AssistantOK
-OK

Reviews

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Frequently asked questions

What identifier follows JERRY BRAZIEL (P.A.-C) across health systems?
The NPI 1528462603 uniquely identifies JERRY BRAZIEL (P.A.-C) in U.S. healthcare data.
Is JERRY BRAZIEL (P.A.-C) currently accepting referrals based on NPI status?
Registry metadata lists JERRY BRAZIEL (P.A.-C) as active.
What type of care does JERRY BRAZIEL (P.A.-C) provide?
JERRY BRAZIEL (P.A.-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to JERRY BRAZIEL (P.A.-C)?
JERRY BRAZIEL (P.A.-C) shows a connection to Enid, Oklahoma in registry-derived data.
Why is information missing for JERRY BRAZIEL (P.A.-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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