Brian D. Jackson, Dpm, LLC
Brian D. Jackson, Dpm, LLC is a healthcare organization registered as Podiatrist in Pulaski, TN, holding Type 2 (organization) NPI 1063686269 since 2008. The authorized official on file is Brian Jackson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063686269 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brian D. Jackson, Dpm, LLC |
| Practice address | 306 S 7TH ST, Pulaski, TN, 38478 |
| Phone | 9314243338 |
| Enumeration date | 2008-04-17 |
| Last updated in NPPES | 2008-04-17 |
Authorized official
| Name | Brian Jackson |
|---|---|
| Title | President |
| Phone | 9313800353 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213E00000X | Podiatrist | Primary | 436 | TN |
Copy-ready billing details
Provider: Brian D. Jackson, Dpm, LLC NPI: 1063686269 Taxonomy: 213E00000X (Podiatrist) Address: 306 S 7TH ST, Pulaski, TN, 38478
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952973141 | Advanced Diagnostic Imaging, PC | Organization | Durable Medical Equipment & Medical Supplies | Pulaski, TN |
Verify this record
Cross-check NPI 1063686269 against the authoritative CMS record: view Brian D. Jackson, Dpm, LLC 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.
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Where is Brian D. Jackson, Dpm, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-17.