BRIAN M. JACKSON – NPI #1013159664
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

BRIAN JACKSON is a physician located in AURORA, CO. NPPES has assigned the NPI number 1013159664 to BRIAN JACKSON on March 28, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 5 years ago on Nov 09, 2021. 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 BRIAN JACKSON below.

NPI Profile for
BRIAN M. JACKSON

NPI Number
1013159664
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRIAN M. JACKSON
Primary location
13123 E 16TH AVE
AURORA, CO 80045
Phone: (720) 777-1234 Fax:
Mailing address
PO BOX 110429
AURORA, CO 80042-0429
Phone: (303) 493-7000 Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 09, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)
CO DR.0050426
208000000X
- Pediatrics
CO DR.0050426
207R00000X
- Internal Medicine
CO DR.0050426

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.