BRADLEY A JACKSON M.D.
NPI 1124206487
Radiology - Diagnostic Radiology in Fullerton, CA

Active since February 07, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
101 E VALENCIA MESA DR, FULLERTON, CA 92835(714) 992-3978 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1124206487
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBRADLEY A JACKSONCredential: M.D.
Location Address101 E VALENCIA MESA DRFullerton, CA 92835-3809
Mailing Address300 Pasteur Dr, Room H3630, Mc: 5642, Stanford University Med Ctr, Dept. Of Int. RadiologyStanford, CA 94305-5642 · (626) 840-4287
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2006
Enumeration DateFebruary 7, 2008
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1124206487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A115326
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License A115326 (CA)
101 E VALENCIA MESA DR, Fullerton, CA 92835

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.

PECOS PAC ID1658527544
PECOS Enrollment IDI20120808000709
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.

Medicare Billing Reassignments

2

Medicare 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.

Diagnostic Radiology
101 E VALENCIA MESA DR
Fullerton, CA 92835
  • Reassigned Medicare billing, California enrollment
  • 53 clinicians in this Medicare group
Radiology
15855 POMONA RINCON ROAD, STE 101
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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
881 services740 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
559 services491 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
302 services286 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
153 services147 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
118 services114 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
101 services98 patients

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Internal Medicine
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Neurological Surgery
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Anesthesiology
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Nurse Practitioner (Adult Health)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Nurse Practitioner (Family)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Pharmacist (Pharmacotherapy)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Pathology (Anatomic Pathology & Clinical Pathology)
101 E VALENCIA MESA DR
FULLERTON, CA 92835
Nurse Practitioner (Family)
101 E VALENCIA MESA DR
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.