Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY CHARLES JACKSON
Active Sole ProprietorBRADLEY CHARLES JACKSON is a Transportation Network Company healthcare provider located in IRONTON, Missouri. NPI 1144005745 is currently active in the NPPES registry. Verify at CMS.
Transportation Network Company · IRONTON, MO
Registration Details
- NPI Number
- 1144005745
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2023 (2.8126264849106 yrs)
- Last Updated
- Aug 30, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
10178 HWY 21IRONTON, MO, 63650Browse MO providers · Browse ZIP 63650
- Phone
- 5733302100
- Primary Specialty
-
Transportation Network Company
342000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.