Individual provider · Type 1 NPI

Jack Bradley Smith, PA

Physician Assistant · Oklahoma City, OK

NPI number 1528036704 Active

Practice location

4401 W Memorial Rd
Oklahoma City, OK 73134-1785

Call (405) 751-4664 Map

Fax (405) 749-4561

Mailing address

18432 Wild Horse Trl
Norman, OK 73072-9603

Other practice locations

  • 700 NE 13th St, Oklahoma City, OK 73104-5004 · (405) 271-5321
  • 13500 S Tulsa Dr, Oklahoma City, OK 73170-9719 · (405) 815-5600
  • 3400 S Douglas Blvd, Oklahoma City, OK 73150-1001 · (405) 815-5600
  • 201 S Sara Rd, Mustang, OK 73064-4306 · (405) 376-4505
  • 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
  • 1000 N Lee Ave, Oklahoma City, OK 73102-1036 · (405) 272-7000
  • 13401 N Western Ave, Oklahoma City, OK 73114-1408 · (405) 252-3400
  • 2115 Parkview Drive, El Reno, OK 73036-0000 · (405) 262-2640

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1155 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1528036704

Jack Bradley Smith, PA's National Provider Identifier is 1528036704, issued on Mar 14, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 1, 2025.