Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346229382 Individual Practitioner Male Practitioner

Dr. Brent Clarence Jackson , MD

Surgery • Redlands, CA

Professional Overview & Biography Verified Profile Summary

Dr. Brent Jackson, MD is a registered healthcare professional specializing in Surgery in Redlands, CA. Practice services are available at 2 W FERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 W Fern Ave

Redlands, CA 923735916

Telephone 9097933311
Associated Practice Facility / Clinic
🏢 Beaver Medical Group, Lp Facility NPI 1831133768

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Redlands, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.7 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Redlands, CA (3346 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A64902

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00A649020 (CA)
Commercial Insurance / Payer ID Blue Shield Of Ca
00A649020 (CA)
Commercial Insurance / Payer ID Blue Cross Of Ca
113712291
Commercial Insurance / Payer ID Wps Tricare
113712291 92123 0000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cynthia Pacheco , AGACNP

Nurse Practitioner - Acute Care

NPI 1003512088

Adult-Gerontology Acute Care Nurse Practitioner

Robert Thomas

Radiology - Diagnostic Radiology

NPI 1003845496
Lisa Anderson , NP

Nurse Practitioner

NPI 1003851593

Nurse Practitioner

NPI 1003860032

Doctor of Osteopathic Medicine (D.O.)

NPI 1023053592

Doctor of Medicine (M.D.)

Dr. John Mortensen , MD

Radiology - Diagnostic Radiology

NPI 1023057130

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 2 W FERN AVE, REDLANDS, CA 923735916 (Tel: 9097933311)

📍
Updated Business Mailing Address June 17, 2014

Registered at PO BOX 10069, SAN BERNARDINO, CA 924230069 (Tel: 9093354188)

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as BRENT JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Surgery (License #A64902 in CA)

🟢
Initial NPI Registration & Enumeration January 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Brent Jackson. Be the first to share your experience!

Sign in to leave a review for Dr. Brent Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1346229382
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2006
Last Update: June 17, 2014
Sole Proprietor: No

Mailing Address

Po Box 10069

San Bernardino, CA 924230069

Phone: 9093354188

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.