Robert T Jackson, MD
Robert T Jackson is a Orthopaedic Surgery Physician provider (Orthopaedic Surgery) practicing in Provo, UT, registered in the NPPES registry with NPI 1407959695 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407959695 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Robert T Jackson |
| Credential | MD |
| Sex | Male |
| Practice address | 1055 N 500 W, SUITE 121, Provo, UT, 84604 |
| Phone | 8013737350 |
| Fax | 8018125401 |
| Enumeration date | 2006-09-06 |
| Last updated in NPPES | 2018-11-02 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery Physician | Primary | 158297-1205 | UT |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107006624103 | Other | UT | IHC |
| 200045123 | Other | UT | PALMETTO |
| 68074 | Other | UT | PEHP |
| 09-00414 | Other | UT | UNITED HEALTHCARE |
| 35879 | Other | UT | DMBA |
| 870281028RTJ | Other | UT | EMIA |
| 870281028000 | Medicaid | UT | — |
| QM0000056631 | Other | UT | ALTIUS |
Copy-ready billing details
Provider: Robert Jackson, MD NPI: 1407959695 Taxonomy: 207X00000X (Orthopaedic Surgery Physician) Address: 1055 N 500 W, SUITE 121, Provo, UT, 84604
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144223835 | Bruce Mcallister | Individual | Radiation Oncology Physician | Provo, UT |
| 1538155411 | Douglas Bagley | Individual | Hand Physical Therapist | Provo, UT |
| 1114900206 | Scott Valadez | Individual | Diagnostic Radiology Physician | Provo, UT |
| 1083697957 | Jim Crowley | Individual | Urology Physician | Provo, UT |
| 1659343564 | Douglas Langford | Individual | Neurology Physician | Provo, UT |
| 1083674972 | Rex Ripplinger | Individual | Internal Medicine Physician | Provo, UT |
| 1831153840 | No Roll Up Timpanogos LLC | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Provo, UT |
| 1831154566 | Marvin Allen | Individual | Cardiovascular Disease Physician | Provo, UT |
Verify this record
Cross-check NPI 1407959695 against the authoritative CMS record: view Robert T Jackson on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Is this the official NPI registry?
What specialty is Robert Jackson?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-11-02.