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GREGORY R JACKSON MD
NPI 1982640090
Radiology - Diagnostic Radiology in Council Bluffs, IA

Active since June 20, 2006
800 MERCY HOSPITAL, ALEGENT MERCY HOSPITAL, COUNCIL BLUFFS, IA 51503(712) 328-5000 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory R Jackson Md NPPES

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

GREGORY R JACKSON MD (NPI 1982640090) is an individual diagnostic radiology provider in Council Bluffs, Iowa, licensed in Iowa (26056) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1982640090
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGREGORY R JACKSONCredential: MD
Location Address800 MERCY HOSPITAL, ALEGENT MERCY HOSPITALCouncil Bluffs, IA 51503
Mailing AddressPo Box 4460Omaha, NE 68104 · (866) 491-5807 · Fax (913) 491-0411
Phone(712) 328-5000
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1982640090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in IA · 26056✔ Licensed in NE · 17050
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
800 MERCY HOSPITAL, Council Bluffs, IA 51503
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Other Identifiers 11

Medicaid4043109IA
Other41360IA · Bcbs
Medicaid5043109IA
Medicaid8043109IA
Other17050NE · License #
Other207Midlands
Other26056Ia License #
Other35534NE · Bcbs
OtherAJ2110310Ia Controlled Substance
Medicaid7043109IA
Medicaid6043109IA

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 Gregory Jackson's NPI number?

The NPI number for Gregory Jackson is 1982640090. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Gregory Jackson located?

Gregory Jackson practices at 800 Mercy Hospital Alegent Mercy Hospital, Council Bluffs, IA 51503. The listed phone number is (712) 328-5000.

What is Gregory Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Gregory Jackson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.