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Brian Gene Jackson, PAC

Physician Assistant in La Jara, CO · enumerated 2006.

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

National Provider Identifier

1245261064

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Registry record

Entity type Individual (Type 1)
Name Brian Gene Jackson
Credential PAC
Sex Male
Practice address 509 Main Street, La Jara, CO, 81140
Fax (719) 376-2395
Enumeration date Jul 6, 2006
Last updated in NPPES May 6, 2021

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 843 (CO) Primary

Other identifiers

Identifier Type State Issuer
07008436 Medicaid CO -

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

How do I verify Brian Jackson's NPI record?
Cross-check NPI 1245261064 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1245261064 active?
Yes, as of the latest NPPES snapshot, NPI 1245261064 is active (record last updated 2021-05-06).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-06.