BRIAN D. JACKSON, DPM, LLC (NPI# 1386836252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386836252 |
| Entity Type | Organization |
| Organization Name | BRIAN D. JACKSON, DPM, LLC |
| Practice Address |
1215 Hatcher Ln Columbia TN 38401-3531 |
| Practice Telephone | 9313800353 |
| Mailing Telephone | 9313800353 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-02-06 |
| 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 | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
436 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE GROUP | DC1001 | 01 |
| MEDICARE GROUP PIN | 3352132 | 01 | |
| BLUE CROSS OF TN | 4042682 | 01 | |
| CIGNA | 3414014 | 01 | |
| UNITED HEALTHCARE | 2740069 | 01 | |
| RAILROAD MEDICARE | 480034585 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063686269 | Brian D. Jackson, Dpm, LLC | Podiatrist | 306 S 7th St, Pulaski, TN 38478-3607 | 2008-04-17 |
| Street Address |
1215 HATCHER LN |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842356 | Brian D Jackson | Podiatrist | 1215 Hatcher Ln, Columbia, TN 38401-3531 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801822283 | Benjamin A Lanza | Podiatrist | 1900 Hampton St, Columbia, SC 29201-3536 | 2006-06-25 |
| 1427480300 | Ashley Michele Nettles | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2013-08-02 |
| 1568602589 | Heather D Driessen | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2009-03-03 |
| 1003013632 | Maureen Quinlan | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2007-06-28 |
| 1285609198 | Terry Alan Sanders | Podiatrist | 305 N Keene St, Suite 209, Columbia, MO 65201-6897 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497215438 | Sandberg Foot Health Center PC | Podiatrist | 116 Concord Rd Ste 300, Knoxville, TN 37934-2941 | 2019-03-25 |
| 1912202516 | Northwest Tennessee Foot Clinic, Pllc | Podiatrist | 1020 E Reelfoot Ave, Union City, TN 38261-6051 | 2011-01-13 |
| 1114158144 | Tomika Thomas Dpm | Podiatrist | 6775 Watergrove Dr, Memphis, TN 38119-8658 | 2009-08-08 |
| 1407021926 | Steve K Chase Dpm PC | Podiatrist | 7174 Stage Rd Ste 123, Bartlett, TN 38133-8954 | 2008-04-25 |
| 1376723163 | Associated Podiatrists of Tennessee | Podiatrist | 100 Medical Center Ct, Clarksville, TN 37043-4546 | 2007-11-08 |
| 1417140070 | Timothy L. Gardner,dpm | Podiatrist | 10810 Parkside Dr Ste 202, Knoxville, TN 37934-1981 | 2007-08-27 |
| 1437297595 | Oliver Foot Clinic, Inc. | Podiatrist | 635 N. Main Street, Suite A, Shelbyville, TN 37160-3235 | 2007-02-01 |
| 1134161979 | David Michael Velarde | Podiatrist | 2824 Merchants Dr, Knoxville, TN 37912-4905 | 2006-06-12 |
| 1720039779 | Carol A. Akerman | Podiatrist | 2725 Asbury Rd, Suite 102, Knoxville, TN 37914-6441 | 2006-05-15 |
| 1033109327 | Paul Benjamin Schodowski | Podiatrist | 2004 American Way, Suite 115, Kingsport, TN 37660-4673 | 2005-10-27 |
| 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.