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

Jerry Braziel, PA-C

Individual provider Medical Physician Assistant · NPI 1528462603

Jerry Braziel, PA-C is a Physician Assistant in Fairview, Oklahoma. Qualified in 2014, 12 years ago. Practices with Fairview Regional Medical Center Authority, a 4-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
12
Licensed in
OK
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

519 E State Rd
Fairview, OK 73737-1458
Phone: (580) 227-2585
Show map & directions

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

Additional practice locations (3)

  • 908 N Rockford Rd, Ardmore, OK 73401 — (580) 226-7771
  • 908 N Rockford Rd, Ardmore, OK 73401 — (580) 226-7771
  • 915 E Owen K Garriott Rd Ste J, Enid, OK 73701 — (580) 297-5157

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2442 (OK)

Record details

NPI number1528462603
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2014
Last updated in NPPESOctober 3, 2019
Mailing address714 Ninnekah St, Enid, OK 73701-5201

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Fairview Regional Medical Center Authority — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare