IndividualActive
Bruce Schlakman, MD
NPI 1093815565 · Neuroradiology Physician · Jackson, MS
Provider details
- NPI number
- 1093815565
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME63631 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2500 N State Street
Jackson, MS 39216
Phone: (601) 984-2538
Fax: (601) 815-1854
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State Street
Jackson, MS 39216
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2014-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.