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David B. Jackson, M.D., S.C.

Pain Medicine (Anesthesiology) Physician in Kenosha, WI · enumerated 2006 · authorized official David Jackson, Authorized Official.

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

National Provider Identifier

1528015120

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Registry record

Entity type Organization (Type 2)
Legal business name David B. Jackson, M.D., S.C.
Practice address 6308 8th Ave, Kenosha, WI, 53143
Phone (262) 656-2011
Enumeration date May 28, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Secondary
207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name David Jackson
Title Authorized Official
Phone (262) 565-2011

Other identifiers

Identifier Type State Issuer
21291400 Medicaid WI -

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 is the NPI number for David B. Jackson, M.D., S.C.?
The NPI for David B. Jackson, M.D., S.C. is 1528015120, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for David B. Jackson, M.D., S.C.?
NPPES lists David Jackson (Authorized Official) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.