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Jacob Jackson, D.O.

Surgery Physician in Bridgeton, MO · enumerated 2013.

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

National Provider Identifier

1861832644

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Registry record

Entity type Individual (Type 1)
Name Jacob Jackson
Credential D.O.
Sex Male
Practice address 12266 De Paul Dr Ste 305, Bridgeton, MO, 63044
Phone (314) 770-0991
Enumeration date Jun 26, 2013
Last updated in NPPES Nov 10, 2020

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 2015012493 (MO) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

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

What specialty is Jacob Jackson?
Jacob Jackson is registered in NPPES with the primary taxonomy of Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-10.