JACKSON PK, LLC
NPI 1750867826
Clinic/Center in Austin, TX

Active since July 12, 2018
9701 BRODIE LN STE 202, AUSTIN, TX 78748(512) 326-2520 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Pk, Llc NPPES

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

JACKSON PK, LLC (NPI 1750867826) is a healthcare organization registered as a clinic/center in Austin, Texas and active in the NPI registry since July 2018. The organization lists Paul A Shrogin, Clinician, as its authorized official.

NPPES Registry Identity

NPI1750867826
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJACKSON PK, LLC
Location Address9701 BRODIE LN STE 202Austin, TX 78748-6284
Mailing Address9701 Brodie Ln Ste 202Austin, TX 78748-6284 · (512) 326-2520
Organization SubpartNo
Authorized OfficialPaul A ShroginClinician · (805) 478-3760
Enumeration DateJuly 12, 2018
NPI 1750867826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in TX · 13075
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9701 BRODIE LN STE 202, Austin, TX 78748

Accepted Insurance

Other Providers at the Same Location NPPES

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

Chiropractor
9701 BRODIE LN STE 202
AUSTIN, TX 78748

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 Jackson Pk, LLC's NPI number?

The NPI number for Jackson Pk, LLC is 1750867826. It was assigned to this organization in the NPPES registry on July 12, 2018.

Where is Jackson Pk, LLC located?

Jackson Pk, LLC is located at 9701 Brodie Ln Ste 202, Austin, TX 78748. The listed phone number is (512) 326-2520.

What is Jackson Pk, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Jackson Pk, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Jackson Pk, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Pk, LLC was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.