Individual provider · Type 1 NPI

Bradley A. Jackson, MD

Diagnostic Radiology Physician · Fullerton, CA

NPI number 1124206487 Active

Practice location

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809

Mailing address

300 Pasteur Dr, Room H3630, Mc: 5642, Stanford University Med Ctr, Dept. Of Int. Radiology
Stanford, CA 94305-5642

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204XA115326 (CA)
Diagnostic Radiology Physician Primary 2085R0202XA115326 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1124206487

Bradley A. Jackson, MD's National Provider Identifier is 1124206487, issued on Feb 7, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fullerton, CA. The record was last updated on Nov 1, 2024.