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BRIAN D. JACKSON, DPM, LLC
NPI 1063686269
Podiatrist in Pulaski, TN

Active since April 17, 2008
306 S 7TH ST, PULASKI, TN 38478(931) 424-3338 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian D. Jackson, Dpm, Llc NPPES

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

BRIAN D. JACKSON, DPM, LLC (NPI 1063686269) is a healthcare organization registered as a podiatrist in Pulaski, Tennessee and active in the NPI registry since April 2008. The organization lists Brian Douglas Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1063686269
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBRIAN D. JACKSON, DPM, LLC
Location Address306 S 7TH STPulaski, TN 38478-3607
Mailing Address1215 Hatcher LnColumbia, TN 38401-3531 · (931) 380-0353
Phone(931) 424-3338
Organization SubpartNo
Authorized OfficialBrian Douglas JacksonPresident · (931) 380-0353
Enumeration DateApril 17, 2008
✔ NPI 1063686269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in TN · 436
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
306 S 7TH ST, Pulaski, TN 38478
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Other Identifiers 1

Medicare NSC4599510002TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ADVANCED DIAGNOSTIC IMAGING, PC
Durable Medical Equipment & Medical Supplies
306 S 7TH ST
PULASKI, TN 38478
Giles County (615) 220-8788

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 D. Jackson, Dpm, LLC's NPI number?

The NPI number for Brian D. Jackson, Dpm, LLC is 1063686269. It was assigned to this organization in the NPPES registry on April 17, 2008.

Where is Brian D. Jackson, Dpm, LLC located?

Brian D. Jackson, Dpm, LLC is located at 306 S 7th St, Pulaski, TN 38478. The listed phone number is (931) 424-3338.

What is Brian D. Jackson, Dpm, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Brian D. Jackson, Dpm, LLC was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.