Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE BRICKEY JACKS, M.D.
ActiveDR. BLAKE BRICKEY JACKS, M.D. is a Therapeutic Radiology healthcare provider located in LITTLE ROCK, Arkansas. NPI 1255726956 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · LITTLE ROCK, AR
Registration Details
- NPI Number
- 1255726956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2015 (11.400613424732 yrs)
- Last Updated
- Sep 28, 2022
- Licenses
-
E-12730 (AR)ME142675 (FL)E-12730 (AR)
Practice Information
- Address
-
8901 CARTI WAYLITTLE ROCK, AR, 722056523Browse AR providers · Browse ZIP 72205
- Phone
- 5019063000
- Fax
- 5019076522
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Therapeutic Radiology
Other Therapeutic Radiology Providers in LITTLE ROCK, AR
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN F BURDA | M.D. | 1922060268 |
| DR. DAVID A HAYS | M.D. | 1801849690 |
| DR. MICHAEL V BEHESHTI | M.D. | 1780638536 |
| DR. CHARLES T BURKE | M.D. | 1194779991 |
| DR. MICHAEL J LONG | M.D. | 1528012820 |
| EDWARD E ANGTUACO | M.D. | 1679527642 |
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.