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Timothy Jackson, M. D. — NPI 1255444766, Bridgeport, WV | NPI Central

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NPI 1255444766

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Timothy Jackson, M. D.

NPI 1255444766 · Endocrinology, Diabetes & Metabolism Physician · Bridgeport, WV

Provider details

NPI number: 1255444766
Entity type: Individual
Primary specialty: Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
Credential: M. D.
Sex: Male
Sole proprietor: No
License: 13532 (WV)

Specialties & taxonomies

Endocrinology, Diabetes & Metabolism PhysicianPrimary207RE0101XLicense 13532 (WV)
Allopathic & Osteopathic Physicians

Practice location

710 Genesis Blvd

Bridgeport, WV 26330-9668

Phone: (681) 342-3070

Approximate (ZIP-level) locationGet directions

More WV providers

Mailing address

Po Box 763

Morgantown, WV 26507-0763

Additional practice locations (1)

1 Stadium Drive
Morgantown, WV 26507
Phone: (304) 598-4800
Fax: (304) 293-6963

Registry dates

Enumerated: 2006-08-17
Last updated: 2022-04-06
Certified: 2022-04-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.