Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY BRAZIEL, P.A.-C
ActiveJERRY BRAZIEL, P.A.-C is a Medical Physician Assistant healthcare provider located in FAIRVIEW, Oklahoma. NPI 1528462603 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FAIRVIEW, OK
Registration Details
- NPI Number
- 1528462603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2014 (11.819310320686 yrs)
- Last Updated
- Oct 3, 2019
- License
-
2442 (OK)
Practice Information
- Address
-
519 E STATE RDFAIRVIEW, OK, 737371458Browse OK providers · Browse ZIP 73737
- Phone
- 5802272585
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FAIRVIEW, OK
| Name | Credential | NPI |
|---|---|---|
| RAEGAN DEWILDE | — | 1780226084 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.