BRENDEN JACKSON
NPI 1336090448
Physician Assistant - Surgical in Little River, SC

Active since February 05, 2026
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566(843) 390-8100 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Feb 5, 2026 (2 updates tracked since 2026).

About Brenden Jackson NPPES

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

BRENDEN JACKSON (NPI 1336090448) is an individual surgical provider in Little River, South Carolina and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1336090448
Entity TypeIndividual
Primary Taxonomy363AS0400X
Provider Legal NameBRENDEN JACKSON
Location Address4000 HIGHWAY 9 ELittle River, SC 29566-7833
Mailing Address4000 Highway 9 ELittle River, SC 29566-7833
Sole ProprietorYes
Enumeration DateFebruary 5, 2026
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1336090448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
4000 HIGHWAY 9 E, Little River, SC 29566

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.

Emergency Medicine
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Registered Nurse
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Audiologist
4000 HIGHWAY 9 E, SUITE 270
LITTLE RIVER, SC 29566
Physician Assistant
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Nurse Anesthetist, Certified Registered
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Orthopaedic Surgery (Sports Medicine)
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Preventive Medicine (Occupational Medicine)
4000 HIGHWAY 9 E
LITTLE RIVER, SC 29566
Clinic/Center (Multi-Specialty)
4000 HIGHWAY 9 E, SUITE 215
LITTLE RIVER, SC 29566

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 Brenden Jackson's NPI number?

The NPI number for Brenden Jackson is 1336090448. It was assigned to this individual provider in the NPPES registry on February 5, 2026.

Where is Brenden Jackson located?

Brenden Jackson practices at 4000 Highway 9 E, Little River, SC 29566. The listed phone number is (843) 390-8100.

What is Brenden Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Brenden Jackson was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.