Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT D JACKSON, MD
ActiveBRENT D JACKSON, MD is a Family Medicine healthcare provider located in FILLMORE, Utah. NPI 1962418210 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FILLMORE, UT
Registration Details
- NPI Number
- 1962418210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.044329265896 yrs)
- Last Updated
- Jun 15, 2010
- License
-
1638281205 (UT)
Practice Information
- Address
-
700 S HIGHWAY 99#3FILLMORE, UT, 846315134Browse UT providers · Browse ZIP 84631
- Phone
- 4357435555
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FILLMORE, UT
| Name | Credential | NPI |
|---|---|---|
| DR. CRAIG M. GROSE | M.D. | 1003854878 |
| WAYNE O BROWN | MD | 1003822909 |
| JONATHAN SCOTT BASSETT | M.D. | 1245541952 |
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.