IndividualActive
Bradley Jackson
NPI 1285854737 · Hearing Instrument Specialist · O Fallon, MO
Provider details
- NPI number
- 1285854737
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2005036116 (MO)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
2969 Highway K
O Fallon, MO 63368-7862
Phone: (636) 379-4691
Fax: (636) 379-4820
Approximate (ZIP-level) locationGet directions
Mailing address
1415 West US Highway 50
O Fallon, IL 62269-3014
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2013-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.