Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Brock Jackson, MD

Specialist in Phoenix, AZ · enumerated 2005.

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

National Provider Identifier

1821093667

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Registry record

Entity type Individual (Type 1)

Name Brock Jackson

Credential MD

Sex Male

Practice address 1661 E Camelback Rd, Suite 160, Phoenix, AZ, 85016

Phone (602) 241-1671

Fax (602) 274-6181

Enumeration date Jun 17, 2005

Last updated in NPPES Mar 19, 2015

Taxonomy & licenses

174400000X Specialist Other Service Providers · License 32949 (AZ) Primary

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
939902	Medicaid	AZ	-

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 → Validate an NPI →

Frequently asked questions

Is NPI 1821093667 active?

Yes, as of the latest NPPES snapshot, NPI 1821093667 is active (record last updated 2015-03-19).

How do I verify Brock Jackson's NPI record?

Cross-check NPI 1821093667 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 2015-03-19.