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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN R JACKSON, MD

Active

BRIAN R JACKSON, MD is a Clinical Pathology/Laboratory Medicine healthcare provider located in BALTIMORE, Maryland. NPI 1255421855 is currently active in the NPPES registry. Verify at CMS.

Clinical Pathology/Laboratory Medicine · BALTIMORE, MD

Registration Details

NPI Number
1255421855
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2006 (19.869532386362 yrs)
Last Updated
Aug 26, 2025
Licenses
5247478-1205 (UT)
D0104213 (MD)

Practice Information

Address
22 S GREENE ST
BALTIMORE, MD, 212011590
Browse MD providers · Browse ZIP 21201
Phone
4103285509
Primary Specialty
Clinical Pathology/Laboratory Medicine
207ZP0105X

Other Clinical Pathology/Laboratory Medicine Providers in BALTIMORE, MD

Name Credential NPI
EDGAR L ALONSOZANA MD 1649212085
GLENN A JOCKLE MD 1548202989
GARY WARNOCK D.D.S. 1992740591
LISA S LOGAN MD 1154367860
DR. BENNETT B EDELMAN M.D. 1124057013
STEVEN H. PEARLMAN M.D. 1093745846
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.