IndividualActive
Jerry Braziel, P.A.-C
NPI 1528462603 · Medical Physician Assistant · Fairview, OK
Provider details
- NPI number
- 1528462603
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2442 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
519 E State Rd
Fairview, OK 73737-1458
Phone: (580) 227-2585
Street-level locationGet directions
Mailing address
714 Ninnekah St
Enid, OK 73701-5201
Additional practice locations (3)
- 908 N Rockford RdArdmore, OK 73401Phone: (580) 226-7771
- 908 N Rockford RdArdmore, OK 73401Phone: (580) 226-7771
- 915 E Owen K Garriott Rd Ste JEnid, OK 73701Phone: (580) 297-5157Fax: (580) 297-5167
Registry dates
- Enumerated
- 2014-10-17
- Last updated
- 2019-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.