Brian D Jackson in Goodlettsville - Podiatrist
Brian D Jackson - NPI 1306842356
Brian D Jackson is a Podiatrist in Goodlettsville, Tennessee. Brian D Jackson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Brian D Jackson is 1306842356. The last update date is 2023-03-15.
Brian D Jackson's current location address is 3024 Business Park Cir, Goodlettsville, Tennessee. You can contact this provider via phone number 6152392018 and fax number 6158512018. The mailing address for Brian D Jackson is 3024 Business Park Cir, Goodlettsville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian D Jackson |
|---|---|
| Address | 3024 Business Park Cir, Goodlettsville, Tennessee |
| Phone Number | 6152392018 |
| Fax Number | 6158512018 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1306842356 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2023-03-15 |
Provider Mailing Address Detail
| Address | 3024 Business Park Cir |
|---|---|
| City | Goodlettsville |
| State | Tennessee (TN) |
| Post Code | 370723132 |
| Phone Number | 6152392018 |
| Fax Number | 6158512018 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 436 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480034585 | TN | RAILROAD MEDICARE | |
| 4042682 | TN | BLUE CROSS | |
| DC1001 | TN | RAILROAD MEDICARE GROUP | |
| 3352132 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brian D Jackson by the Centers for Medicare & Medicaid Services?
The Brian D Jackson has been assigned the NPI (National Provider Identifier) 1306842356 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Brian D Jackson is physically located?
The Brian D Jackson is physically situated at the following address: 3024 Business Park Cir, Goodlettsville, TN, 370723132.
What is Brian D Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian D Jackson's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306842356 to Brian D Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1306842356 to Brian D Jackson on 2005-06-23.
When was the Brian D Jackson's information last updated?
The Brian D Jackson's information was last updated on 2023-03-15.