BERNICE D JACKSON MD CARDIOLOGY SERVICES, PLLC – NPI #1750548657
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

BERNICE D JACKSON MD CARDIOLOGY SERVICES, PLLC is a provider located in WASHINGTON, DC. NPPES has assigned the NPI number 1750548657 to BERNICE D JACKSON MD CARDIOLOGY SERVICES, PLLC on May 19, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 18 years ago on Jul 02, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BERNICE D JACKSON MD CARDIOLOGY SERVICES, PLLC below.

NPI Profile for
BERNICE D JACKSON MD CARDIOLOGY SERVICES, PLLC

NPI Number
1750548657
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BERNICE D JACKSON MD CARDIOLOGY SERVICES, PLLC
Primary location
1160 VARNUM ST NE
SUITE 314
WASHINGTON, DC 20017-2107
Phone: (202) 269-9249 Fax: (202) 269-9271
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BERNICE JACKSON
PRESIDENT
Phone: (202) 269-9249
Updated
Identifiers

Identifiers for BERNICE D JACKSON MD CARDIOLOGY SERVICES, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI INDIVIDUALDC1639195407
MEDICAIDDC027063100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 DC MD17118

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.