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R. BRUCE JACKSON II, M.D., P.A.
NPI 1619064573
Obstetrics & Gynecology in Boone, NC

Active since October 10, 2006
222 LONGVUE DR, BOONE, NC 28607(828) 262-9696(828) 265-2306 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About R. Bruce Jackson Ii, M.d., P.a. NPPES

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

R. BRUCE JACKSON II, M.D., P.A. (NPI 1619064573) is a healthcare organization registered as an obstetrics & gynecology in Boone, North Carolina and active in the NPI registry since October 2006. The organization lists Robert Bruce Jackson, Doctor, as its authorized official.

NPPES Registry Identity

NPI1619064573
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameR. BRUCE JACKSON II, M.D., P.A.
Location Address222 LONGVUE DRBoone, NC 28607-5060
Mailing Address222 Longvue DrBoone, NC 28607-5060 · (828) 262-9696 · Fax (828) 265-2306
Phone(828) 262-9696
Fax(828) 265-2306
Organization SubpartNo
Authorized OfficialRobert Bruce JacksonDoctor · (828) 262-9696
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619064573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 24975
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
222 LONGVUE DR, Boone, NC 28607
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MRS. ANNE DIXON PA-C
Physician Assistant (Medical)
222 LONGVUE DR
BOONE, NC 28607
Watauga County (828) 355-9624
COURTNEY COLLIER PA
Physician Assistant
222 LONGVUE DR
BOONE, NC 28607
Watauga County (828) 355-9624
MOUNTAIN LAUREL FAMILY PRACTICE, PLLC
Nurse Practitioner
222 LONGVUE DR
BOONE, NC 28607
Watauga County (828) 355-9624
MRS. LEANNE YOUNG-FRITCHIE FNP
Nurse Practitioner (Family)
222 LONGVUE DR
BOONE, NC 28607
Watauga County (828) 355-9624
MRS. TIFFANY LYNN SHREVE MSN, RNC, FNP-BC
Nurse Practitioner (Family)
222 LONGVUE DR
BOONE, NC 28607
Watauga County (828) 355-9624
LINDSAY GRAY TORRUELLA NP
Nurse Practitioner (Primary Care)
222 LONGVUE DR
BOONE, NC 28607
Watauga County (828) 355-9624

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 R. Bruce Jackson II, M.D., P.A.'s NPI number?

The NPI number for R. Bruce Jackson II, M.D., P.A. is 1619064573. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is R. Bruce Jackson II, M.D., P.A. located?

R. Bruce Jackson II, M.D., P.A. is located at 222 Longvue Dr, Boone, NC 28607. The listed phone number is (828) 262-9696.

What is R. Bruce Jackson II, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for R. Bruce Jackson II, M.D., P.A. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.