Dr. Jack Hudson Deckard, MD
Dr. Jack Hudson Deckard is a Neurological Surgery Physician provider (Neurological Surgery) practicing in Glendale, WI, registered in the NPPES registry with NPI 1689618571 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1689618571 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jack Hudson Deckard |
| Credential | MD |
| Sex | Male |
| Practice address | Glendale, WI, 53217 |
| Phone | 4149610089 |
| Fax | 4149611043 |
| Enumeration date | 2006-06-15 |
| Last updated in NPPES | 2010-08-31 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery Physician | Primary | 24495 | WI |
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 |
|---|---|---|---|
| 30464900 | Medicaid | WI | — |
Copy-ready billing details
Provider: Jack Deckard, MD NPI: 1689618571 Taxonomy: 207T00000X (Neurological Surgery Physician) Address: Glendale, WI, 53217
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841299773 | Joseph Goodman | Individual | Surgery Physician | Milwaukee, WI |
| 1437159399 | Kevin Packman | Individual | Surgery Physician | Milwaukee, WI |
| 1780684647 | Drs Wagner Goodman Pasch and Packman Ltd | Organization | Surgery Physician | Milwaukee, WI |
| 1093715856 | Barry Gimbel | Individual | Cardiovascular Disease Physician | Milwaukee, WI |
| 1710930862 | Drs. Fabric, Shafrin and Bloom,S.C. | Organization | Ophthalmology Physician | Milwaukee, WI |
| 1467405670 | Fred Shafrin | Individual | Ophthalmology Physician | Milwaukee, WI |
| 1699728659 | Kenneth Fabric | Individual | Ophthalmology Physician | Milwaukee, WI |
| 1356397772 | Thomas Bloom | Individual | Ophthalmology Physician | Milwaukee, WI |
Verify this record
Cross-check NPI 1689618571 against the authoritative CMS record: view Dr. Jack Hudson Deckard 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
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-08-31.