Jerry D Braziel (NPI# 1528462603, PAC ID# 8527383595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1528462603 |
| PAC ID by PECOS | 8527383595 |
| Professional Enrollment ID | I20150216000090 |
| Full Name | Jerry D Braziel |
| Organization Legal Name | FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY |
| Address |
523 E State Rd Fairview Regional Medical Center Fairview OK 73737-1453 |
| Phone Number | 5802271334 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4183943186 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371329 | FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY |
| 370026 | ST MARY'S REGIONAL MEDICAL CENTER |
| 370016 | INTEGRIS BASS BAPTIST HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 | 5802271334 | FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY |
| Organization Legal Name | FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Kimball | Nurse Practitioner | Fairview Regional Medical Center Authority | 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 |
| John Stephen Price | Family Medicine | Fairview Regional Medical Center Authority | 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 |
| Donald R Klinger | Family Practice | Fairview Regional Medical Center Authority | 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 |
| Megan L Ewing | Nurse Practitioner | Fairview Regional Medical Center Authority | 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 |
| John A Hensley | Family Practice | Fairview Regional Medical Center Authority | 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 |
| Street Address |
523 E STATE RD FAIRVIEW REGIONAL MEDICAL CENTER |
| City | FAIRVIEW |
| State | OK |
| Zip | 73737-1453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Kimball | Nurse Practitioner | Fairview Regional Medical Center Authority | 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 |
| John Stephen Price | Family Medicine | Fairview Regional Medical Center Authority | 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 |
| Donald R Klinger | Family Practice | Fairview Regional Medical Center Authority | 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 |
| Megan L Ewing | Nurse Practitioner | Fairview Regional Medical Center Authority | 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 |
| John A Hensley | Family Practice | Fairview Regional Medical Center Authority | 523 E State Rd, Fairview Regional Medical Center, Fairview, OK 73737-1453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Keen | Chiropractic | 301 W Elm St, Fairview, OK 73737-1618 | |
| John B Eitzen | Chiropractic | 123 W Broadway, Advanced Chiropratic Center, Fairview, OK 73737-2009 | |
| Blake Carlisle | Optometry | Max Carlisle Od PC | 111 E Broadway, Fairview, OK 73737-2124 |
| Max Carlisle | Optometry | Max Carlisle Od PC | 111 E Broadway, Fairview, OK 73737-2124 |
| City | FAIRVIEW |
| Zip Code | 73737 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAIRVIEW + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jerry D Braziel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.