Jackson, David Bradley
Jackson, David Bradley is an individual health care provider with primary practice located at Msc Internal Medicine 1 University Of New Mexico , Albuquerque NM 87131-0001. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Jackson, David Bradley can be contacted via phone (505) 272-4661.Contact Information
Primary practice address
Msc Internal Medicine 1 University Of New Mexico
Albuquerque NM 87131-0001
Phone: (505) 272-4661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 8269149-1204 | Utah |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DO2023-1106 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO2023-1106 | New Mexico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New Mexico |
Profile Details
| NPI number | 1568091643 |
|---|---|
| LBN Legal business name | Jackson, David Bradley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2020 |
| Last updated | May 14th, 2026 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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