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DR. BRANDON T. JACKSON D.C.
NPI 1578896031
Chiropractor in O Fallon, MO

Active since September 15, 2009
5551 WINGHAVEN BLVD STE 20, O FALLON, MO 63368(636) 614-0401(636) 265-0014 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brandon T. Jackson D.c. NPPES

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

DR. BRANDON T. JACKSON D.C. (NPI 1578896031) is an individual chiropractor in O Fallon, Missouri, licensed in Missouri (2011014558) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1578896031
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRANDON T. JACKSONCredential: D.C.
Location Address5551 WINGHAVEN BLVD STE 20O Fallon, MO 63368-3618
Mailing Address5551 Winghaven Blvd Ste 20O Fallon, MO 63368-3618 · (636) 614-0401 · Fax (636) 265-0014
Phone(636) 614-0401
Fax(636) 265-0014
Sole ProprietorYes
Enumeration DateSeptember 15, 2009
Last NPPES UpdateApril 2, 2022
NPPES CertifiedApril 2, 2022
✔ NPI 1578896031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2011014558
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5551 WINGHAVEN BLVD STE 20, O Fallon, MO 63368
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Other Identifiers 1

Other12014762MO · Caqh Number

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRUE HEALTH CHIROPRACTIC, INC.
Chiropractor
5551 WINGHAVEN BLVD STE 20
O FALLON, MO 63368
St. Charles County (636) 614-0401
MS. MELISSA GODAR FNP
Nurse Practitioner
5551 WINGHAVEN BLVD STE 20
O FALLON, MO 63368
St. Charles County (314) 944-3711
LAUREN MARIE HANSON RN, BSN, BSHC,HNB-BC
Registered Nurse
5551 WINGHAVEN BLVD STE 20
O FALLON, MO 63368
St. Charles County (636) 375-6585

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 Brandon Jackson's NPI number?

The NPI number for Brandon Jackson is 1578896031. It was assigned to this individual provider in the NPPES registry on September 15, 2009.

Where is Brandon Jackson located?

Brandon Jackson practices at 5551 Winghaven Blvd Ste 20, O Fallon, MO 63368. The listed phone number is (636) 614-0401.

What is Brandon Jackson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Brandon Jackson was last updated on April 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.