BRADLEY A JACKSON M.D.
NPI 1124206487
Radiology - Diagnostic Radiology in Fullerton, CA
About Bradley A Jackson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY A JACKSON M.D. (NPI 1124206487) is an individual diagnostic radiology provider in Fullerton, California, licensed in California (A115326) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bradley A Jackson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Bradley Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fullerton, CA 92835
- Reassigned Medicare billing, California enrollment
- 53 clinicians in this Medicare group
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 63
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
FULLERTON, CA 92835
FULLERTON, CA 92835
FULLERTON, CA 92835
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 Bradley Jackson's NPI number?
The NPI number for Bradley Jackson is 1124206487. It was assigned to this individual provider in the NPPES registry on February 7, 2008.
Where is Bradley Jackson located?
Bradley Jackson practices at 101 E Valencia Mesa Dr, Fullerton, CA 92835. The listed phone number is (714) 992-3978.
What is Bradley Jackson's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Bradley Jackson enrolled in Medicare?
Yes. Bradley Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bradley Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Jackson reassigns Medicare benefits to 2 organizations: St Jude Radiology Medical Group Inc (Fullerton, CA) and North Oc Imaging Jv, LLC (Chino Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bradley Jackson was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.