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BRENT D JACKSON MD
NPI 1962418210
Family Medicine in Fillmore, UT

Active since July 31, 2006
700 S HIGHWAY 99, #3, FILLMORE, UT 84631(435) 743-5555 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brent D Jackson Md NPPES

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

BRENT D JACKSON MD (NPI 1962418210) is an individual family medicine provider in Fillmore, Utah, licensed in Utah (1638281205) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962418210
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRENT D JACKSONCredential: MD
Location Address700 S HIGHWAY 99, #3Fillmore, UT 84631-5134
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (435) 743-5555
Phone(435) 743-5555
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJune 15, 2010
✔ NPI 1962418210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 1638281205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
700 S HIGHWAY 99, Fillmore, UT 84631
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Other Identifiers 1

Medicare PIN000063330UT

Other Providers at the Same Location NPPES 5

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

WAYNE O BROWN MD
Family Medicine
700 S HIGHWAY 99, #3
FILLMORE, UT 84631
Millard County (435) 743-5555
IHC HEALTH SERVICES INC
Family Medicine
700 S HIGHWAY 99, #3
FILLMORE, UT 84631
Millard County (435) 743-5555
MRS. JANA LYNN ORTON LCSW
Social Worker (Clinical)
700 S HIGHWAY 99
FILLMORE, UT 84631
Millard County (435) 743-5555
BRIAN JOSEPH HUBER DNP, FNP
Nurse Practitioner (Family)
700 S HIGHWAY 99
FILLMORE, UT 84631
Millard County (435) 743-5555
MRS. DENISE LANETTE ALLGOOD NP
Nurse Practitioner (Family)
700 S HIGHWAY 99
FILLMORE, UT 84631
Millard County (435) 743-5555

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 Brent Jackson's NPI number?

The NPI number for Brent Jackson is 1962418210. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Brent Jackson located?

Brent Jackson practices at 700 S Highway 99 #3, Fillmore, UT 84631. The listed phone number is (435) 743-5555.

What is Brent Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Brent Jackson was last updated on June 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.