Brent Clarence Jackson in Redlands - Surgery
Brent Clarence Jackson - NPI 1346229382
Brent Clarence Jackson is a Surgery in Redlands, California. Brent Clarence Jackson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Brent Clarence Jackson is 1346229382. The last update date is 2014-06-17.
Brent Clarence Jackson's current location address is 2 W Fern Ave, Redlands, California. You can contact this provider via phone number 9097933311. The mailing address for Brent Clarence Jackson is 2 W Fern Ave, Redlands, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Clarence Jackson |
|---|---|
| Address | 2 W Fern Ave, Redlands, California |
| Phone Number | 9097933311 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1346229382 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2014-06-17 |
Provider Mailing Address Detail
| Address | 2 W Fern Ave |
|---|---|
| City | Redlands |
| State | California (CA) |
| Post Code | 923735916 |
| Phone Number | 9097933311 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | A64902 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A649020 | CA | BLUE SHIELD OF CA | |
| 00A649020 | CA | -- | |
| 113712291 | BLUE CROSS OF CA | ||
| 113712291 92123 | WPS TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Brent Clarence Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Brent Clarence Jackson has been assigned the NPI (National Provider Identifier) 1346229382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Brent Clarence Jackson is geographically located?
The Brent Clarence Jackson is physically situated at the following location: 2 W Fern Ave, Redlands, CA, 923735916.
What is Brent Clarence Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brent Clarence Jackson is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did Brent Clarence Jackson receive its 1346229382 assignment from the Centers for Medicare & Medicaid Services?
The Brent Clarence Jackson was assigned its 1346229382 on 2006-01-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Brent Clarence Jackson most recently updated or refreshed?
The details pertaining to the Brent Clarence Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-06-17.