BRADLEY C JACKSON (NPI# 1285854737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285854737 |
| Entity Type | Individual |
| Full Name | BRADLEY C JACKSON |
| Practice Address |
2969 Highway K O Fallon MO 63368-7862 |
| Mailing Address |
1415 West Us Highway 50 O Fallon IL 62269-3014 |
| Practice Telephone | 6363794691 |
| Practice Fax Number | 6363794820 |
| Mailing Telephone | 6186244471 |
| Mailing Fax Number | 6186244496 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2013-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 2005036116 | MO | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699217778 | Bradley Kent Jackson | Psychologist | 13123 E 16th Ave # 245, Aurora, CO 80045-7106 | 2016-11-07 |
| 1124206487 | Bradley A Jackson | Radiology | 300 Pasteur Dr, Room H3630, Mc: 5642, Stanford University Med Ctr, Dept. of Int. Radiology, Stanford, CA 94305-5642 | 2008-02-07 |
| 1700285665 | Bradley Jackson | Specialist/Technologist | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2014-08-16 |
| 1467738195 | Bradley Jackson | Case Manager/Care Coordinator | 634 W Main St, Blytheville, AR 72315-3336 | 2011-10-26 |
| 1487940243 | Bradley Stevens Jackson | Emergency Medicine | 3901 Rainbow Blvd, Kansas City, KS 66103-2937 | 2011-06-21 |
| 1578869475 | Bradley Daniel Jackson | Nurse Anesthetist, Certified Registered | 4901 Grande Dr, Pensacola, FL 32504-5935 | 2011-02-10 |
| 1376787705 | Bradley A Jackson | Physical Therapist | 3135 Us Highway 41 W, Marquette, MI 49855-9494 | 2009-04-29 |
| 1265495329 | Bradley S Jackson | Pediatrics | 5386 Cox Smith Rd, Suite A, Mason, OH 45040-9289 | 2006-04-10 |
| 1750362885 | Bradley D Jackson | Chiropractor | 1261 S Main St, Meadville, PA 16335-3034 | 2005-11-07 |
| Street Address |
2969 HIGHWAY K |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-7862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285850339 | Brad Mcmillin, Inc | Hearing Aid Equipment | 2969 Highway K, O Fallon, MO 63368-7862 | 2007-04-17 |
| 1679900823 | Dustin Frank Barrett | Hearing Instrument Specialist | 2969 Highway K, O Fallon, MO 63368-7862 | 2013-10-02 |
| 1003242116 | Cari M Cleppe | Hearing Instrument Specialist | 2969 Highway K, O Fallon, MO 63368-7862 | 2013-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306105978 | Christopher R Moore | Hearing Instrument Specialist | 802 W Madison St, O Fallon, IL 62269-1030 | 2012-05-16 |
| 1366674533 | Charles C Chapman | Hearing Instrument Specialist | 1415 W Highway 50, O Fallon, IL 62269-1618 | 2009-08-20 |
| 1831790633 | Moore Hearing, LLC | Hearing Instrument Specialist | 802 W Madison St, O Fallon, IL 62269-1030 | 2020-11-06 |
| 1265064554 | Martin J Conaughty | Hearing Instrument Specialist | 1415 W Highway 50, O Fallon, IL 62269-1618 | 2020-02-05 |
| 1710348610 | Rita Lynn Fleshren | Hearing Instrument Specialist | 1480 N Green Mount Rd, Suite 200, O Fallon, IL 62269-3466 | 2016-03-19 |
| 1962807289 | Tyler Andrews | Hearing Instrument Specialist | 1415 W Highway 50, O Fallon, IL 62269-1618 | 2014-10-29 |
| 1801291117 | Nichole Hudson | Hearing Instrument Specialist | 1415 W Highway 50, O Fallon, IL 62269-1618 | 2014-10-29 |
| 1184029563 | Joseph Jackson | Hearing Instrument Specialist | 1415 W Us Highway 50, O Fallon, IL 62269-1618 | 2014-10-28 |
| 1679900823 | Dustin Frank Barrett | Hearing Instrument Specialist | 2969 Highway K, O Fallon, MO 63368-7862 | 2013-10-02 |
| 1003242116 | Cari M Cleppe | Hearing Instrument Specialist | 2969 Highway K, O Fallon, MO 63368-7862 | 2013-09-20 |
| Find all providers in O FALLON | ||||
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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.