BRIAN D. JACKSON, DPM, LLC (NPI# 1063686269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063686269 |
Entity Type | Organization |
Organization Name | BRIAN D. JACKSON, DPM, LLC |
Practice Address |
306 S 7th St Pulaski TN 38478-3607 |
Mailing Address |
1215 Hatcher Ln Columbia TN 38401-3531 |
Practice Telephone | 9314243338 |
Mailing Telephone | 9313800353 |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-04-17 |
Authorized Official Name | DR. BRIAN DOUGLAS JACKSON (PRESIDENT) |
Authorized Official Telephone | 9313800353 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 436 | TN | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386836252 | Brian D. Jackson, Dpm, LLC | Podiatrist | 1215 Hatcher Ln, Columbia, TN 38401-3531 | 2007-08-15 |
Street Address |
306 S 7TH ST |
City | PULASKI |
State | TN |
Zip Code | 38478-3607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528605250 | Debra Jean Burr | Technician | 1225 Braly Hollow Rd., Pulaski, TN 38478 | 2019-12-02 |
1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
1730499088 | William Harwell Murrey | Family Medicine | 1000 Hicks Cut Rd, Pulaski, TN 38478 | 2010-10-19 |
1194993436 | Valerie S. Manning | Speech-Language Pathologist | 933 East College St., Pulaski, TN 38478 | 2008-02-20 |
1437360393 | Malcolm A Cox Jr. | Pediatrics | 1487 Milky Way Rd, Pulaski, TN 38478 | 2007-05-24 |
1134337025 | James Kenneth Webb | Dentist | 604 East College St, Pulaski, TN 38478 | 2007-05-21 |
1619182292 | Dr. John T Mann Dds | Dentist | 601 E College St, Pulaski, TN 38478 | 2007-05-14 |
1013138627 | Diane Hoffnagle Coggin | Dietitian, Registered | 209 Cedar Lane, Pulaski, TN 38478 | 2007-05-01 |
1710105499 | Amg-hillside LLC | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478 | 2007-04-20 |
1962628453 | Junipers of The World Inc | Registered Nurse | 1914 Minor Hill Hwy, Pulaski, TN 38478 | 2007-04-17 |
Find all providers in zip 38478 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629686696 | Ankle and Foot Centers of Nashville, LLC | Podiatrist | 1909 Mallory Ln Ste 100, Franklin, TN 37067-8230 | 2020-07-16 |
1417571498 | Advanced Diagnostic Imaging, PC | Podiatrist | 353 New Shackle Island Rd Ste 120b, Hendersonville, TN 37075-2329 | 2020-06-04 |
1154836708 | Advanced Foot Care, LLP | Podiatrist | 705 Cook Dr Ste 200, Athens, TN 37303-3494 | 2017-12-05 |
1043725690 | Advanced Foot Care, LLP | Podiatrist | 689 Medical Park Drive, Ste. 102, Lenoir City, TN 37772-5797 | 2017-12-05 |
1265941447 | Mendoza Foot & Ankle Center PC | Podiatrist | 3443 Dickerson Pike Ste 500, Nashville, TN 37207-2599 | 2017-09-20 |
1174044010 | Kevin Timothy Haag | Podiatrist | 9325 Apison Pike Ste 137, College Dale, TN 37363-3805 | 2017-06-30 |
1639526577 | Jared Todd Gremillion | Podiatrist | 240 Medical Park Blvd Ste 1500, Bristol, TN 37620-7353 | 2016-05-20 |
1720473820 | James Barksdale | Podiatrist | 1605 S Locust Ave Ste 101, Lawrenceburg, TN 38464-4053 | 2015-04-06 |
1780072371 | Special Care Podiatry of Tennessee, LLC | Podiatrist | 6140 E Brainerd Rd, Chattanooga, TN 37421-3910 | 2015-01-05 |
1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.