Jackson Pk, LLC
NPI 1750867826 · Clinic/Center · Austin, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Pk, LLC is a Clinic/Center organization in Austin, TX (NPI 1750867826).
Provider details
- NPI number
- 1750867826
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Shrogin, Clinician(805) 478-3760
- License
- 13075 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2018-07-12
- Last updated
- 2018-07-12
Frequently asked questions
- What is Jackson Pk, LLC's NPI number?
- Jackson Pk, LLC's National Provider Identifier (NPI) is 1750867826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Pk, LLC?
- Jackson Pk, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jackson Pk, LLC located?
- Jackson Pk, LLC's practice location on file with NPPES is 9701 Brodie Ln Ste 202, Austin, TX 78748-6284.
- What is Jackson Pk, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Pk, LLC is (512) 326-2520.
- Does Jackson Pk, LLC accept Medicare?
- Jackson Pk, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Pk, LLC?
- The authorized official listed on Jackson Pk, LLC's NPPES record is Paul Shrogin, Clinician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Pk, LLC's NPI active?
- Yes — Jackson Pk, LLC's NPI (1750867826) is active in the NPPES registry as of the last update on 2018-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.