Provider Demographics
NPI:1003538836
Name:PERKINS, BRYNN (PA-C)
Entity type:Individual
Prefix:
First Name:BRYNN
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 YUCCA DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-7902
Mailing Address - Country:US
Mailing Address - Phone:405-496-7726
Mailing Address - Fax:
Practice Address - Street 1:535 NW 9TH ST STE 235
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1078
Practice Address - Country:US
Practice Address - Phone:405-772-4338
Practice Address - Fax:405-772-4339
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4859363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant