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DR. RODGER DALE JACKSON JR. DO, MPH
NPI 1588795546
Emergency Medicine in West Bloomfield, MI

Active since March 08, 2007PECOS Enrolled
6777 W MAPLE RD, DEPARTMENT OF EMERGENCY MEDICINE, WEST BLOOMFIELD, MI 48322(313) 614-2186 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Rodger Dale Jackson Jr. Do, Mph NPPES

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

DR. RODGER DALE JACKSON JR. DO, MPH (NPI 1588795546) is an individual emergency medicine provider in West Bloomfield, Michigan, licensed in Michigan (5101016798) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588795546
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RODGER DALE JACKSON JR.Credential: DO, MPH
Location Address6777 W MAPLE RD, DEPARTMENT OF EMERGENCY MEDICINEWest Bloomfield, MI 48322-3013
Mailing Address6777 W Maple Rd, Department Of Emergency MedicineWest Bloomfield, MI 48322-3013 · (313) 614-2186
Phone(313) 614-2186
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 22, 2013
✔ NPI 1588795546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101016798
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101016798 (MI)
6777 W MAPLE RD, West Bloomfield, MI 48322
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Other Identifiers 2

Other5315026355MI · Controlled Substance Lic
Other5101016798MI · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rodger Dale Jackson Jr. Do, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

IRB MEDICAL EQUIPMENT LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322
Oakland County (248) 862-7214
MELISSA ANNE BARACH AGCNS
Clinical Nurse Specialist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (989) 245-7466
ANNA CEDOZ CCC-SLP
Speech-Language Pathologist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 325-1000
SAYEDUL ISLAM
Specialist/Technologist, Other (Surgical Assistant)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (800) 653-6568
MADISON SOKOL MOT
Occupational Therapist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 325-3113
SARAH ANNE MATTAN PA
Physician Assistant (Medical)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (800) 653-6568
JENNIFER LEE FRANKLIN M.D.
Emergency Medicine
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (843) 876-8023
NICOLE AURORA RADU-YAKOB CRNA
Nurse Anesthetist, Certified Registered
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 661-4100

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 Rodger Jackson's NPI number?

The NPI number for Rodger Jackson is 1588795546. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Rodger Jackson located?

Rodger Jackson practices at 6777 W Maple Rd Department Of Emergency Medicine, West Bloomfield, MI 48322. The listed phone number is (313) 614-2186.

What is Rodger Jackson's specialty?

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

Is Rodger Jackson enrolled in Medicare?

Yes. Rodger Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rodger Jackson was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.