BRIAN D. JACKSON, DPM, LLC


Address: 306 S 7th St, Pulaski, TN 38478-3607
Phone: 9314243338

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 436 TN Podiatric Medicine & Surgery Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386836252 Brian D. Jackson, Dpm, LLC Podiatrist 1215 Hatcher Ln, Columbia, TN 38401-3531 2007-08-15

Office Location

Street Address 306 S 7TH ST
City PULASKI
State TN
Zip Code 38478-3607

Providers in the same zip code

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 Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and state

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
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Competitor

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City PULASKI
Zip Code 38478

Improve Information

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Dataset Information

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.

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