Russell B Jackson (NPI# 1073752879, PAC ID# 8628299245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1073752879 |
| PAC ID by PECOS | 8628299245 |
| Professional Enrollment ID | I20141024000945 |
| Full Name | Russell B Jackson |
| Organization Legal Name | R BRENT JACKSON DO PA |
| Address |
155 E Sonterra Blvd Suite 111 San Antonio TX 78258-3988 |
| Phone Number | 2107291900 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2008 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6204057821 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670055 | METHODIST STONE OAK HOSPITAL |
| 450058 | BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 155 E Sonterra Blvd, Suite 111, San Antonio, TX 78258-3988 | 2107291900 | R BRENT JACKSON DO PA |
| Organization Legal Name | R BRENT JACKSON DO PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke Trautmann | Physician Assistant | R Brent Jackson Do Pa | 155 E Sonterra Blvd, Suite 111, San Antonio, TX 78258-3988 |
| Street Address |
155 E SONTERRA BLVD SUITE 111 |
| City | SAN ANTONIO |
| State | TX |
| Zip | 78258-3988 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John H Gurian | Diagnostic Radiology | South Texas Radiology Imaging Centers | 155 E Sonterra Blvd, Suite 100, San Antonio, TX 78258-3988 |
| Alan P Crowther | Interventional Radiology | South Texas Radiology Imaging Centers | 155 E Sonterra Blvd, Suite 100, San Antonio, TX 78258-3988 |
| Luke Trautmann | Physician Assistant | R Brent Jackson Do Pa | 155 E Sonterra Blvd, Suite 111, San Antonio, TX 78258-3988 |
| Jaime Oscar Cruz | Endocrinology | 155 E Sonterra Blvd, Suite 105, San Antonio, TX 78258-3988 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shenila Rajani | Optometry | 12349 I, Suite 35, San Antonio, TX 78258 | |
| Renee T Dunlap | Optometry | Renee Tomes Dunlap, Od, Pllc | 21019 Us Hwy 281 N, Suite 832, San Antonio, TX 78258 |
| Jesus Alcala | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Mary Layne Ezzeddine | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Zachary Pompei Miller | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Hannah M Szilagy | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Kimberly A Rios | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Emily Martinez | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Gina M Leonard-ziino | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 23530 Wilderness Oak, San Antonio, TX 78258-2406 |
| Esha Jose | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 23530 Wilderness Oak, San Antonio, TX 78258-2406 |
| Find all physicians in zip 78258 | |||
| City | SAN ANTONIO |
| Zip Code | 78258 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SAN ANTONIO + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Russell B Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.