Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brent Brewer, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1316189087

Brent Brewer, PHYSICIANASSISTANT is a Physician Assistant in Pryor, Oklahoma. Qualified in 2016, 10 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2009

Practice location Address checks out

231 E Graham Ave
Pryor, OK 74361-2436
Phone: (918) 825-1405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2025 E 71st St, Tulsa, OK 74136-5407 — (918) 561-6642

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2737 (OK)

Record details

NPI number1316189087
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 27, 2009
Last updated in NPPESMarch 17, 2018
Mailing address231 E Graham Ave, Pryor, OK 74361-2436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pryor