BRUCE JACKSON (NPI# 1598133571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598133571 |
| Entity Type | Individual |
| Full Name | BRUCE JACKSON |
| Credential | RN, FA |
| Practice Address |
2828 1st Ave Ste 400 Huntington WV 25702-1236 |
| Practice Telephone | 3045256905 |
| Practice Fax Number | 3045254316 |
| Mailing Telephone | 3045256905 |
| Mailing Fax Number | 3045254316 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
398466 | OH | Nursing Service Providers |
| Y | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
60256 | WV | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 352265 | 05 | |
| WV | 0010681000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992039291 | Bruce C. Jackson | Chiropractor | 201 Brighton Park Blvd., Ste. 4, Frankfort, KY 40601-8447 | 2009-09-21 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1124072087 | Bruce L Jackson | Physician Assistant | 15863 Kasota Rd, Apple Valley, CA 92307-4507 | 2006-05-22 |
| 1467711986 | Bruce Jackson | Case Manager/Care Coordinator | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2012-05-04 |
| 1598819567 | Bruce E Jackson | Counselor | 5455 Almira Dr Se, Bremerton, WA 98311-8330 | 2007-01-23 |
| 1609883438 | Bruce K Jackson | Internal Medicine | 520 N Prospect Ave, Ste. 300, Redondo Beach, CA 90277-3041 | 2006-08-02 |
| 1720039878 | Bruce Arden Jackson II | Dentist | 4829 E Beltline Ave Ne, Grand Rapids, MI 49525-9747 | 2006-05-13 |
| Street Address |
2828 1ST AVE STE 400 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25702-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538187364 | Steven C Lochow | Orthopaedic Surgery | 2828 1st Ave Ste 400, Huntington, WV 25702-1236 | 2006-07-18 |
| 1467822338 | Kacey Hildebrand | Specialist/Technologist | 2828 1st Ave Ste 400, Huntington, WV 25702-1236 | 2015-10-04 |
| 1528436425 | David Gene Seibert | Specialist/Technologist | 2828 1st Ave Ste 400, Huntington, WV 25702-1236 | 2015-09-09 |
| 1144697749 | Andrea Smith | Specialist/Technologist | 2828 1st Ave Ste 400, Huntington, WV 25702-1236 | 2015-08-31 |
| 1750677795 | Karim Boukhemis | Orthopaedic Surgery | 2828 1st Ave Ste 400, Huntington, WV 25702-1236 | 2011-06-28 |
| 1235226267 | Bethany Sue Cox | Physician Assistant | 2828 1st Ave Ste 400, Huntington, WV 25702-1236 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692306 | Jessica Nicole Hankins | Social Worker | 2769 Collins Avenue, Huntington, WV 25702 | 2020-05-29 |
| 1932750338 | Dasllastiene Cabell | Technician | 6188 Little 7 Mile Rd, Huntington, WV 25702 | 2019-09-26 |
| 1295386134 | Hope Vance | Technician | 2 Sam Collins Road, Huntington, WV 25702 | 2019-09-23 |
| 1649726373 | Erin Nicole Wingate | Emergency Medicine | 2828 1st Ave., Huntington, WV 25702 | 2016-09-01 |
| 1639545510 | Ready Set Relax LLC | Massage Therapist | 2411 3rd Avenue, Huntington, WV 25702 | 2015-08-14 |
| 1780709923 | M N Saleme Surgery Inc | Surgery | 2828 First Ave, Suite 205, Huntington, WV 25702 | 2007-03-20 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| 1578621678 | Andrea R Ferguson | Registered Nurse | 2860 3rd Ave Suite 10, Huntington, WV 25702 | 2006-12-04 |
| 1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
| 1790889905 | All Med LLC | Durable Medical Equipment & Medical Supplies | 410 Seventh Ave, Huntington, WV 25702 | 2006-09-08 |
| Find all providers in zip 25702 | ||||
| Taxonomy Code | 163WX0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467820449 | Scott Orthopedic Center | Registered Nurse | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 | 2015-09-09 |
| City | HUNTINGTON |
| Zip Code | 25702 |
Please comment or provide details below to improve the information on BRUCE 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.