NPIMap

Individual provider Active NPI

Shawn Bridwell, PA

  • Physician Assistant
  • Purcell, OK
National Provider Identifier
1932187382
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
913 Issued in OK
Practice address
1438 Hardcastle Blvd
Purcell, OK 73080-8233
Phone
(405) 527-4700
Fax
(405) 527-4903
NPI assigned
Jan 5, 2006
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 913 OK Primary

Addresses

Primary practice location

1438 Hardcastle Blvd
Purcell, OK 73080-8233

Mailing address

1438 Hardcastle Blvd
Purcell, OK 73080-8233
Phone (405) 527-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050708000326 TX Practitioner - Physician Assistant 5496643900 Reassigns benefits to 1 organization
I20240430003042 OK Practitioner - Physician Assistant 5496643900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1438 Hardcastle Blvd
Purcell, OK 73080-8233
Phone (405) 527-4700

15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
913OKMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Absentee Shawnee Tribal Health Authority, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Apr 1, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Apr 1, 2024 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Jun 8, 2005 Accepting new patients
Chickasaw Nation Division of Health Chickasaw Nation Medical Center CurrentSince Jun 8, 2005 Accepting new patients
Chickasaw Nation Division of Health Chickasaw Nation Medical Center Past Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Access LLC Past Accepting new patients

Locations

1001 N Country Club Rd
Ada, OK 74820
Phone (580) 421-4570

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

1600 N Washington Ave
Durant, OK 74701
Phone (580) 740-0205

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

Interoperability endpoints

  • Direct secure messaging: sbridwell23579@direct.chickasawnationhealth.net

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1932187382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 HARDCASTLE BLVD",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730808233",
            "telephone_number": "405-527-4700",
            "fax_number": "405-527-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 HARDCASTLE BLVD",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730808233",
            "telephone_number": "405-527-4700",
            "fax_number": "405-527-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDWELL",
        "first_name": "SHAWN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

Verify at the official NPI Registry.