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
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | A115326 (CA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | A115326 (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.