Jacob Jackson, D.O.
Jacob Jackson is a Surgery Physician provider (Surgery) practicing in Bridgeton, MO, registered in the NPPES registry with NPI 1861832644 since 2013. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861832644 |
|---|---|
| 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 | 3147700991 |
| Enumeration date | 2013-06-26 |
| Last updated in NPPES | 2020-11-10 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 2015012493 | MO |
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
Copy-ready billing details
Provider: Jacob Jackson, D.O. NPI: 1861832644 Taxonomy: 208600000X (Surgery Physician) Address: 12266 DE PAUL DR STE 305, Bridgeton, MO, 63044
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1932150638 | Richard Roettger | Individual | Trauma Surgery Physician | Bridgeton, MO |
| 1194765578 | Thomas Bocchini | Individual | Vascular & Interventional Radiology Physician | Bridgeton, MO |
| 1205920220 | Anil Srivastava | Individual | Surgery Physician | Bridgeton, MO |
| 1326269648 | Jack Oak | Individual | Vascular Surgery Physician | Bridgeton, MO |
| 1235367160 | Thanh-Mai Vo | Individual | Nephrology Physician | Bridgeton, MO |
| 1609195098 | Julie Schremmer | Individual | Family Nurse Practitioner | Bridgeton, MO |
| 1619231636 | Betsy Krebs | Individual | Surgery Physician | Bridgeton, MO |
| 1164804035 | Kyle Christensen | Individual | Surgery Physician | Bridgeton, MO |
Verify this record
Cross-check NPI 1861832644 against the authoritative CMS record: view Jacob 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
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-10.