GREGORY R. JACKSON MD – NPI #1982640090
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

GREGORY JACKSON is a radiologist located in COUNCIL BLUFFS, IA. NPPES has assigned the NPI number 1982640090 to GREGORY JACKSON on June 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. 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 GREGORY JACKSON below.

NPI Profile for
GREGORY R. JACKSON

NPI Number
1982640090
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GREGORY R. JACKSON
Credentials
MD
Primary location
800 MERCY HOSPITAL
ALEGENT MERCY HOSPITAL
COUNCIL BLUFFS, IA 51503
Phone: (712) 328-5000 Fax:
Mailing address
PO BOX 4460
OMAHA, NE 68104
Phone: (866) 491-5807 Fax: (913) 491-0411
Sole Proprietor
No
Updated
Identifiers

Identifiers for GREGORY JACKSON

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.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBSIA41360
otherBCBSNE35534
otherIA CONTROLLED SUBSTANCEAJ2110310
otherIA LICENSE #26056
otherLICENSE #NE17050
otherMIDLANDS207
medicaidIA4043109
medicaidIA5043109
medicaidIA6043109
medicaidIA7043109
medicaidIA8043109
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
NE 17050

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.