BRIAN MICHAEL JACKSON
NPI 1013159664
Pediatrics - Pediatric Critical Care Medicine in Aurora, CO

Q: What is Brian Jackson's NPI number?

The NPI number for Brian Jackson is 1013159664. It was assigned to this individual provider in the NPPES registry on March 28, 2009.

Q: What is Brian Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Brian Jackson was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2009PECOS Enrolled

13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2021, Aug 19, 2018 (2 updates tracked since 2018).

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About Brian Michael Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN MICHAEL JACKSON (NPI 1013159664) is an individual pediatric critical care medicine provider in Aurora, Colorado, licensed in Colorado (DR.0050426) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013159664

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameBRIAN MICHAEL JACKSON

Location Address13123 E 16TH AVEAurora, CO 80045

Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000

Phone(720) 777-1234

Sole ProprietorNo

Enumeration DateMarch 28, 2009

Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration

NPPES CertifiedNovember 9, 2021

✔ NPI 1013159664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CO · DR.0050426

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0050426 (CO)

Also ListedPediatricsTaxonomy 208000000X · License DR.0050426 (CO)

13123 E 16TH AVE, Aurora, CO 80045

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Michael Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN TERAVEST PA

Physician Assistant (Surgical)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MELISSA KAY FRAZER AA-C

Anesthesiologist Assistant

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

RACHEL MARIE RANWEILER

Registered Nurse (Neonatal Intensive Care)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-6857

DR. KATHRYN LYN PEGAN AU.D.

Audiologist

13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045

Adams County (720) 777-1961

MRS. KRISTEN L HOLDER FNP-C, APRN-BC

Nurse Practitioner (Psychiatric/Mental Health)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MRS. JILL M MARKS RN, APN

Nurse Practitioner (Pediatrics)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-1234

MRS. WENDELYN M BARRETT NNP

Registered Nurse (Neonatal Intensive Care)

13123 E 16TH AVE
AURORA, CO 80045

Adams County (720) 777-6857

DR. TIMOTHY OWEN VANDERKOOY MD

Emergency Medicine (Pediatric Emergency Medicine)

13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

Adams County (720) 777-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Jackson's NPI number?

The NPI number for Brian Jackson is 1013159664. It was assigned to this individual provider in the NPPES registry on March 28, 2009.

Where is Brian Jackson located?

Brian Jackson practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Brian Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Brian Jackson enrolled in Medicare?

Yes. Brian Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Jackson was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.