IndividualActive
Brenden Jackson
NPI 1336090448 · Surgical Physician Assistant · Little River, SC
Provider details
- NPI number
- 1336090448
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4000 Highway 9 E
Little River, SC 29566-7833
Phone: (843) 390-8100
Street-level locationGet directions
Mailing address
4000 Highway 9 E
Little River, SC 29566-7833
Registry dates
- Enumerated
- 2026-02-05
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.