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

Jack Bradley Smith, PA

Individual provider Physician Assistant · NPI 1528036704

Jack Bradley Smith, PA is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2001, 25 years ago. Practices with Ou Health Partners Inc, a 1,167-clinician group, works from 10 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
25
Licensed in
OK
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4401 W Memorial Rd
Oklahoma City, OK 73134-1785
Phone: (405) 751-4664
Fax: (405) 749-4561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 2115 Parkview Drive, El Reno, OK 73036-0000 — (405) 262-2640
  • 201 S Sara Rd, Mustang, OK 73064-4306 — (405) 376-4505
  • 1000 N Lee Ave, Oklahoma City, OK 73102-1036 — (405) 272-7000
  • 700 Ne 13th St, Oklahoma City, OK 73104-5004 — (405) 271-5321
  • 13401 N Western Ave, Oklahoma City, OK 73114-1408 — (405) 252-3400
  • 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 — (405) 608-3800
  • 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 — (405) 628-6000
  • 3400 S Douglas Blvd, Oklahoma City, OK 73150-1001 — (405) 815-5600
  • 13500 S Tulsa Dr, Oklahoma City, OK 73170-9719 — (405) 815-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1155 (OK)

Record details

NPI number1528036704
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Ou Health Partners Inc — 1167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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