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BRADLEY JACKSON
NPI 1831907393
Adult Companion in Janesville, WI

Active since December 30, 2024
2921 RANDOLPH RD, JANESVILLE, WI 53545(608) 866-0689 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Dec 30, 2024 (2 updates tracked since 2024).

About Bradley Jackson NPPES

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

BRADLEY JACKSON (NPI 1831907393) is an individual adult companion provider in Janesville, Wisconsin and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1831907393
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameBRADLEY JACKSON
Location Address2921 RANDOLPH RDJanesville, WI 53545-0665
Mailing Address4100 Wyndham Dr NeCedar Rapids, IA 52402-2565 · (608) 866-0689
Phone(608) 866-0689
Sole ProprietorYes
Enumeration DateDecember 30, 2024
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1831907393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
2921 RANDOLPH RD, Janesville, WI 53545
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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 Bradley Jackson's NPI number?

The NPI number for Bradley Jackson is 1831907393. It was assigned to this individual provider in the NPPES registry on December 30, 2024.

Where is Bradley Jackson located?

Bradley Jackson practices at 2921 Randolph Rd, Janesville, WI 53545. The listed phone number is (608) 866-0689.

What is Bradley Jackson's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Bradley Jackson was last updated on January 7, 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.