Brent Jackson, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: July 31, 2006

Quick Facts

NPI Number
1962418210
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(435) 743-5555
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1962418210)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 31, 2006)
Data source: CMS NPPES

Provider Overview

BRENT JACKSON, MD is a Family Medicine provider based in Fillmore, UT who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1962418210
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateJuly 31, 2006

Practice Location

CityFillmore
StateUT
ZIP Code84631-5134
Phone(435) 743-5555

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateUT

Mailing Address

CityFillmore
StateUT
ZIP Code84631-5134
Phone(435) 743-5555
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1962418210 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1962418210for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1962418210 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
199,317
Family Medicine Providers in the US

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People Also Ask

What is Brent Jackson's NPI number?
Brent Jackson's NPI number is 1962418210, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Brent Jackson's NPI currently active?
Yes, Brent Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Brent Jackson specialize in?
Brent Jackson specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Brent Jackson practice?
Brent Jackson practices in Fillmore, UT 84631-5134.
When was Brent Jackson's NPI issued?
Brent Jackson's NPI was issued on July 31, 2006.
What is Brent Jackson's provider type?
Brent Jackson is registered as an Individual Provider under CMS NPI Type 1.