What is Brian Jackson's NPI number?

Brian Jackson's National Provider Identifier (NPI) is 1194985861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Brian Jackson's specialty?

Brian Jackson is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).

Where is Brian Jackson located?

Brian Jackson's practice location on file with NPPES is 35000 Guadalcanal Ave, San Diego, CA 92140-5599.

What is Brian Jackson's phone number?

The practice phone number listed in the NPPES registry for Brian Jackson is (619) 524-4045.

Is Brian Jackson's NPI active?

Yes — Brian Jackson's NPI (1194985861) is active in the NPPES registry as of the last update on 2008-06-16.

IndividualActive

Brian Jackson, IDC

NPI 1194985861 · Independent Duty Corpsman · San Diego, CA

Brian Jackson, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1194985861).

Provider details

NPI number: 1194985861
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

35000 Guadalcanal Ave

San Diego, CA 92140-5599

Phone: (619) 524-4045

Approximate (ZIP-level) locationGet directions

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Mailing address