Dr. Brian D Jackson is a Columbia, Tennessee based male podiatrist with 32 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 1992. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Brian D Jackson for Podiatry is 436 in Tennessee. Dr. Brian D Jackson is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Brian D Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
32+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
1992
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1215 Hatcher Ln, Columbia, Tennessee, 38401-3531
Phone:
615-220-8788
Fax:
615-220-8688
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9830167303
Enrollment ID:
I20110120000031
NPI Number:
1306842356
NPI Enumeration Date:
23 Jun, 2005
NPI Last Update On:
15 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian D Jackson are as mentioned below.
License Number
Specialization
State
Status
436
Podiatry
Tennessee
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Brian D Jackson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Advanced Diagnostic Imaging Pc (7315848140)
512
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Brian D Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
480034585
Other
Tennessee
RAILROAD MEDICARE
4042682
Other
Tennessee
BLUE CROSS
DC1001
Other
Tennessee
RAILROAD MEDICARE GROUP
3352132
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3024 Business Park Cir, Goodlettsville, Tennessee
Zip:
37072-3132
Phone Number:
615-239-2018
Fax Number:
615-851-2018
Patients can reach Dr. Brian D Jackson at 1215 Hatcher Ln, Columbia, Tennessee or can call to book an appointment on 615-220-8788. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.