Brian Jackson Sr, is a
Community Health Worker based in Pittsburg, California. Brian Jackson Sr is licensed to practice in California (license number ) and his current practice location is
51 Marina Blvd, Pittsburg, California. He can be reached at his office (for appointments etc.) via phone at
(510) 851-0027.
NPI number for Brian Jackson Sr is 1497464010 and his current mailing address is 1266 14th St, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497464010.
Healthcare Provider's Profile
Full Name | Brian Jackson Sr |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 51 Marina Blvd, Pittsburg, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497464010
- Provider Enumeration Date: 11/22/2022
- Last Update Date: 05/04/2023
Medical Identifiers
Medical identifiers for Brian Jackson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497464010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Jackson Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brian Jackson Sr, 1266 14th St, Oakland, CA 94607-2247 Ph: (510) 851-0027 | Brian Jackson Sr, 51 Marina Blvd, Pittsburg, CA 94565-2068 Ph: (510) 851-0027 |
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