Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Robert Elvon Jackson, MD

Urology Physician in Meridian, ID · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184740045

Verified

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Registry record

Entity type Individual (Type 1)

Name Robert Elvon Jackson

Credential MD

Sex Male

Practice address 875 S Vanguard Way, Suite 200 D, Meridian, ID, 83642

Phone (208) 782-6730

Fax (208) 759-7822

Enumeration date Mar 22, 2007

Last updated in NPPES Jun 2, 2026

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care · License 4301087650 (MI) Secondary

208800000X Urology Physician Allopathic & Osteopathic Physicians · License 4301087650 (MI) Secondary

208800000X Urology Physician Allopathic & Osteopathic Physicians · License M-11868 (ID) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Robert Jackson practice?

The practice location on file with NPPES is in Meridian, ID. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Robert Jackson?

The National Provider Identifier (NPI) for Robert Jackson is 1184740045, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-02.