DR. LENLEY BRADFORD JACKSON M.D.
NPI 1568555845
Emergency Medicine in Stockton, CA

Q: What is Lenley Jackson's NPI number?

The NPI number for Lenley Jackson is 1568555845. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Q: What is Lenley Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Lenley Jackson was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 01, 2006PECOS EnrolledAccepts Medicare Assignment

2505 W HAMMER LN, STOCKTON, CA 95209(209) 954-4040(209) 951-2239 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 12, 2026, Mar 4, 2025 (2 updates tracked since 2025).

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About Dr. Lenley Bradford Jackson M.d. NPPES

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

DR. LENLEY BRADFORD JACKSON M.D. (NPI 1568555845) is an individual emergency medicine provider in Stockton, California, licensed in California (A87877) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1999).

NPPES Registry Identity

NPI1568555845

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. LENLEY BRADFORD JACKSONCredential: M.D.

Location Address2505 W HAMMER LNStockton, CA 95209-2839

Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769

Phone(209) 954-4040

Fax(209) 951-2239

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1999

Enumeration DateOctober 1, 2006

Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1568555845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in CA · A87877✔ Licensed in HI · 15431

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2505 W HAMMER LN, Stockton, CA 95209

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Secondary Practice Locations 4

Location 186-260 Farrington HwyWaianae, HI 96792-3128 · Phone (808) 697-3300

Location 2347 N Kuakini StHonolulu, HI 96817-2306 · Phone (808) 536-2236

Location 33100 W Christoffersen PkwyTurlock, CA 95382-9547 · Phone (209) 632-3909

Location 4520 Illinois StSan Francisco, CA 94143-2501 · Phone (415) 353-9188

Other Identifiers 5

OtherP00601866IL · Railroad Medicare Member Ptan

OtherCA2264IL · Railroad Medicare Group Ptan

Other833120IL · Medicare Group #

Medicaid036119364IL

OtherR00965IL · Medicare Individual #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Lenley Bradford 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 ID1850365206

PECOS Enrollment IDI20040823000656, I20181114003499

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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

37 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95209 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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.

JENNIFER JOSE

Internal Medicine