Individual provider Active NPI

Brian G Sharp, PA-C

  • Medical Physician Assistant
  • Del City, OK
National Provider Identifier
1912083213
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1135 Issued in OK
Practice address
3851 Tinker Diagonal
Del City, OK 73115-2109
Phone
(405) 632-6688
Fax
(405) 604-0708
NPI assigned
Oct 29, 2006
Last updated
Oct 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1135 OK Primary

Addresses

Primary practice location

3851 Tinker Diagonal
Del City, OK 73115-2109

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688

Other practice location 1

1450 S Eastern Ave Bldg A
Oklahoma City, OK 73129-6035
Phone (405) 632-6688

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160728002218 OK Practitioner - Physician Assistant 4981997897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1135OKMDMental Health Counselor
PA1135OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Variety Care, Inc CurrentSince Jun 12, 2016 Accepting new patients
Variety Care, Inc. CurrentSince Jun 12, 2016 Accepting new patients
Summit Medical Center Past Accepting new patients
Variety Care, Inc. Past Accepting new patients

Locations

1025 Straka Ter
Oklahoma City, OK 73139
Phone (405) 629-5281

3000 N Grand Blvd
Oklahoma City, OK 73107
Phone 405632668810209

3851 Tinker Rd
Oklahoma City, OK 73115
Phone (405) 677-1129

Interoperability endpoints

  • Direct secure messaging: bsharp376749@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792195200000",
    "number": "1912083213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GRAND BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071818",
            "telephone_number": "405-632-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 TINKER DIAGONAL",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731152109",
            "telephone_number": "405-632-6688",
            "fax_number": "405-604-0708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 S Eastern Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731296035",
            "country_code": "US",
            "telephone_number": "405-632-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "BRIAN",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA1135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del City, OK

Sources for this page

Verify at the official NPI Registry.