JACKSON PARKER BRANDON
NPI 1699584425
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Jackson Brandon's NPI number?

The NPI number for Jackson Brandon is 1699584425. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Q: What is Jackson Brandon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Brandon was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 06, 2025PECOS Enrolled

340 W 10TH ST STE 6200, INDIANAPOLIS, IN 46202(317) 274-8157 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jackson Parker Brandon NPPES

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

JACKSON PARKER BRANDON (NPI 1699584425) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699584425

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACKSON PARKER BRANDON

Location Address340 W 10TH ST STE 6200Indianapolis, IN 46202-3082

Mailing Address340 W 10th St Ste 6200Indianapolis, IN 46202-3082

Phone(317) 274-8157

Sole ProprietorNo

Enumeration DateJanuary 6, 2025

Last NPPES UpdateJanuary 10, 2025

NPPES CertifiedJanuary 10, 2025

✔ NPI 1699584425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

340 W 10TH ST STE 6200, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Parker Brandon 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.

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.

GENTRY C DODD MD

Physical Medicine & Rehabilitation