Bradley S. Jackson, M.D

Pediatrics Physician · Mason, OH

Individual Active NPI

NPI number 1265495329

Practice location

5386 Cox Smith Rd
Suite a
Mason, OH 45040-9289
Phone
(513) 770-3466
Fax
(513) 770-3467

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NPI record

NPI
1265495329
Entity type
Individual (Type 1)
Enumeration date
April 10, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 060290 OH

About Dr. Jackson

Bradley S. Jackson, M.D is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 5386 Cox Smith Rd, Suite a, Mason, OH 45040-9289. The NPI number 1265495329 was assigned on April 10, 2006 and the record was last updated on July 8, 2007.

Dr. Jackson lists a license in the registry: #060290 (OH) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bradley S. Jackson, M.D?

The NPI number is 1265495329.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (513) 770-3466.

Where is Dr. Jackson located?

5386 Cox Smith Rd, Suite a, Mason, OH 45040-9289.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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