BRANDON CHRISTOPHER JACKSON IDC
NPI 1881030310
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Brandon Jackson's NPI number?

The NPI number for Brandon Jackson is 1881030310. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Q: What is Brandon Jackson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Jackson was last updated on May 10, 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.

Active since May 10, 2013

6810 CAMPHOR LN, SAN DIEGO, CA 92139(619) 846-3392 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Brandon Christopher Jackson Idc NPPES

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

BRANDON CHRISTOPHER JACKSON IDC (NPI 1881030310) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1881030310

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameBRANDON CHRISTOPHER JACKSONCredential: IDC

Location Address6810 CAMPHOR LNSan Diego, CA 92139

Mailing AddressNmcb5Fpo, AP 96601-4961 · (619) 846-3392

Phone(619) 846-3392

Sole ProprietorYes

Enumeration DateMay 10, 2013

✔ NPI 1881030310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

6810 CAMPHOR LN, San Diego, CA 92139

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Other Identifiers 1

Other1710-1002XIdc

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 Brandon Jackson's NPI number?

The NPI number for Brandon Jackson is 1881030310. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Where is Brandon Jackson located?

Brandon Jackson practices at 6810 Camphor Ln, San Diego, CA 92139. The listed phone number is (619) 846-3392.

What is Brandon Jackson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Brandon Jackson was last updated on May 10, 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.