ADAM JOEL JACKSON (NPI# 1407483415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407483415 |
| Entity Type | Individual |
| Full Name | ADAM JOEL JACKSON |
| Credential | MD |
| Practice Address |
Brooke Army Medical Center 3551 Roger Brooke Drive Fort Sam Houston TX 78234 |
| Mailing Address |
6739 Featherstone Dr Savage MN 55378-2268 |
| Practice Telephone | 2109168666 |
| Practice Fax Number | 2109168712 |
| Mailing Telephone | 6513087600 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033257662 | Adam S. Jackson | Acupuncturist | 5800 Soundview Dr Ste C101, Gig Harbor, WA 98335-2077 | 2007-02-04 |
| 1902423304 | Adam Jackson | Student in an Organized Health Care Education/Training Program | 3909 Woodley Rd, Toledo, OH 43606-1169 | 2020-07-01 |
| 1942734884 | Adam Jackson | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2017-04-18 |
| 1023558376 | Adam Jackson | Psychiatry & Neurology | 55 W Chestnut St, Chicago, IL 60610-3347 | 2017-03-06 |
| 1922465350 | Adam Jackson | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-01-14 |
| 1881801694 | Adam W Jackson | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2007-05-17 |
| 1306973375 | Adam B Jackson | General Practice | 2045 Franklin St, Department of Infectious Diseases, Denver, CO 80205-5437 | 2007-02-27 |
| 1144314501 | Adam Russell Jackson | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-0999 | 2006-10-02 |
| Street Address |
BROOKE ARMY MEDICAL CENTER 3551 ROGER BROOKE DRIVE |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265924435 | Danielle Morrison | Student in an Organized Health Care Education/Training Program | Brooke Army Medical Center, 3551 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-4504 | 2018-06-04 |
| 1649660846 | Daniel J Reschke | Emergency Medicine | Brooke Army Medical Center, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2015-01-27 |
| 1942605043 | Karen Long | Physician Assistant | Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234 | 2014-10-31 |
| 1811335896 | Mark Scott Lincoln | Pathology | Brooke Army Medical Center, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2013-06-12 |
| 1801139357 | Katie Elizabeth Neumayer | Pediatrics | Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 | 2013-04-03 |
| 1679890099 | Huy Duc Do | Internal Medicine | Brooke Army Medical Center, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2010-04-24 |
| 1396933727 | Danyell Lynn Brenner | Social Worker | Brooke Army Medical Center, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234 | 2007-10-10 |
| 1982898565 | Scott Charles Benson | Physician Assistant | Brooke Army Medical Center, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234-4504 | 2007-08-28 |
| 1740339779 | Rosco Steven Gore Jr. | Internal Medicine | Brooke Army Medical Center, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2007-01-09 |
| 1427130855 | William Paul Barras | Nurse Anesthetist, Certified Registered | Brooke Army Medical Center, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912535378 | Casey Joseph Lockett | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center Mche-mdx, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-03-31 |
| 1699302745 | Christian Cavacece | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Im Residency, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234-7805 | 2020-03-26 |
| 1386270783 | Cody Franklin Newell | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-emr, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-03-17 |
| 1477189108 | Brady Todd Olsen | Student in an Organized Health Care Education/Training Program | Sammc Dept of Medicine, Mche-mdx, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234-4504 | 2020-03-13 |
| 1225581044 | Randall Mills | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Mche-zhg (gme), Brooke Army Medical Center, Fort Sam Houston, TX 78234-4504 | 2016-07-28 |
| 1457761876 | Lauren Rice | Student in an Organized Health Care Education/Training Program | Bamc-3851 Roger Brooke Drive, Mche-qd (creda), Fort Sam Houston, TX 78234-6300 | 2014-05-07 |
| 1235488495 | Michael Alan Dawson Jr. | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2012-09-04 |
| 1346512860 | Adrian R. Johnson | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive, Bldg 3528r, Mche-dbm, Fort Sam Houston, TX 78234-6200 | 2012-01-30 |
| 1700064359 | Vivian Josephine Caraveo | Student in an Organized Health Care Education/Training Program | 3851roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-6200 | 2008-02-06 |
| 1063028306 | Jacob B Barack | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive, Department of Behavioral Medicine- Mche-dbm, Fort Sam Houston, TX 78234-4504 | 2020-09-22 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
Please comment or provide details below to improve the information on ADAM JOEL JACKSON.
| 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.