DR. DAVID BRADLEY JACKSON DO
NPI 1568091643
Internal Medicine - Critical Care Medicine in Albuquerque, NM

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
MSC INTERNAL MEDICINE 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4661 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2026, Apr 23, 2026, Jun 18, 2025 and 4 more (7 updates tracked since 2020).

About Dr. David Bradley Jackson Do NPPES

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

DR. DAVID BRADLEY JACKSON DO (NPI 1568091643) is an individual critical care medicine provider in Albuquerque, New Mexico, licensed in Utah (8269149-1204) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1568091643
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. DAVID BRADLEY JACKSONCredential: DO
Location AddressMSC INTERNAL MEDICINE 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateMay 14, 20267 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1568091643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in UT · 8269149-1204
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License DO2023-1106 (NM)
Also ListedHospitalistTaxonomy 208M00000X · License DO2023-1106 (NM)
MSC INTERNAL MEDICINE 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Secondary Practice Location 1

Location 11034 N 500 WProvo, UT 84604-3380 · Phone (801) 357-7291

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. David Bradley Jackson Do 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 ID4587080510
PECOS Enrollment IDI20240514001588
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568091643, enumerated as an "individual" on April 02, 2020.

The provider is located at MSC INTERNAL MEDICINE 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE, NM 87131 and the phone number is (505) 272-4661.

Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

David Jackson is affiliated with: UNM HOSPITAL.