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Bradley Daniel Jackson, CRNA

Certified Registered Nurse Anesthetist in Pensacola, FL · enumerated 2011 · practices at Panhandle Anesthesiology Associates PA.

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

National Provider Identifier

1578869475

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Registry record

Entity type Individual (Type 1)
Name Bradley Daniel Jackson
Credential CRNA
Sex Male
Practice address 4901 Grande Dr, Pensacola, FL, 32504
Fax (850) 474-9060
Enumeration date Feb 10, 2011
Last updated in NPPES Aug 25, 2020

Taxonomy & licenses

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License ARNP9312860 (FL) Primary
CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

Other identifiers

Identifier Type State Issuer
592-13562 Other AL BLUE CROSS BLUE SHIELD
G00ME Other FL BLUE CROSS BLUE SHIELD
P00959140 Other - MEDICARE RAILROAD
126061 Medicaid AL -
003243800 Medicaid FL -

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

Is NPI 1578869475 active?
Yes, as of the latest NPPES snapshot, NPI 1578869475 is active (record last updated 2020-08-25).
How do I verify Bradley Jackson's NPI record?
Cross-check NPI 1578869475 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-25.