Jack Bradley Smith, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1155 Issued in OK

Practice address

4401 W Memorial Rd
Oklahoma City, OK 73134-1785

Phone

(405) 751-4664

Fax

(405) 749-4561

NPI assigned

Mar 14, 2006

Last updated

Dec 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Heart Hospital South, LLC Hospital, Oklahoma City, OK, CCN 370234
• SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ou Health Partners, Inc

  dba Ou Health Partners

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1528642642
  Medicare reassignment Care Compare group NPD
• Community Hospital LLC

  dba Community Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  Medicare reassignment
• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297
  Medicare reassignment
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment
• Enhanced Wound Care LLC

  • Point of Service
  • Nichols Hills, OK
  • NPI 1306594148
  Medicare reassignment
• Total Wellness

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1841616828
  Medicare reassignment
• TPG Hospital LLC

  dba Northwest Surgical Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1942260971
  Medicare reassignment
• Community Hospital LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1730366832

  Physician Assistant

  NPD
• Ou Health Partners, Inc

  dba OUHP Orthotics & Prosthetic

  • Prosthetic/Orthotic Supplier
  • Oklahoma City, OK
  • NPI 1447834460
  NPD
• Mercy Health Services Inc.

  dba Mercy After Hours

  • Medical Specialty Clinic/Center
  • Yukon, OK
  • NPI 1255398251
  NPD (past)
• Norstar Emergency Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Norman, OK
  • NPI 1093709537
  NPD (past)
• Oklahoma Emergency Services PC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1114239795

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oklahoma Heart Hospital South LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1841442274
  Care Compare affiliation
• SSM Health Care of Oklahoma Inc

  dba SSM Health Pharmacy

  • Community/Retail Pharmacy
  • Oklahoma City, OK
  • NPI 1649602293

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc.

  dba SSM Health St. Anthony Hospital - Oklahoma City

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1366545311
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1528036704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18432 WILD HORSE TRL",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729603",
            "telephone_number": "405-760-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341785",
            "telephone_number": "405-751-4664",
            "fax_number": "405-749-4561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 NE 13th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045004",
            "country_code": "US",
            "telephone_number": "405-271-5321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13500 S Tulsa Dr",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731709719",
            "country_code": "US",
            "telephone_number": "405-815-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 S Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731501001",
            "country_code": "US",
            "telephone_number": "405-815-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Sara Rd",
            "address_purpose": "LOCATION",
            "city": "Mustang",
            "state": "OK",
            "postal_code": "730644306",
            "country_code": "US",
            "telephone_number": "405-376-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208382",
            "country_code": "US",
            "telephone_number": "405-608-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 E I 240 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731352607",
            "country_code": "US",
            "telephone_number": "405-628-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021036",
            "country_code": "US",
            "telephone_number": "405-272-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13401 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731141408",
            "country_code": "US",
            "telephone_number": "405-252-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Parkview Drive",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "730360000",
            "country_code": "US",
            "telephone_number": "405-262-2640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACK",
        "middle_name": "BRADLEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Smith, PHD
• Heather Smith
• Henry Smith
• Herman Smith Jr.
• Holly Diane Smith
• Jacqueline J Smith, MD
• Jaiden Elise Smith
• James Colvin Smith
• James Kyle Smith
• James Wayne Smith, M.D., PH.D.

• Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.