Bradley Daniel Jackson is a Pensacola, Florida based nurse anesthetist with 15 years of experience as Anesthesia Administration. He completed he graduation in 2010. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Bradley Daniel Jackson is ARNP9312860 for Anesthesia Administration in Florida. his current practice location is 4901 Grande Dr, Pensacola. Patients can reach him at 850-477-7042 or can fax him at 850-474-9060. Bradley Daniel Jackson is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1578869475. Bradley Daniel Jackson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Bradley Daniel Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
15+ years
Medical School Attended:
Other
Graduation Year:
2010
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4901 Grande Dr, Pensacola, Florida, 32504-5935
Phone:
850-477-7042
Fax:
850-474-9060
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5597946434
Enrollment ID:
I20200831000612
NPI Number:
1578869475
NPI Enumeration Date:
10 Feb, 2011
NPI Last Update On:
25 Aug, 2020
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bradley Daniel Jackson are as mentioned below.
License Number
Specialization
State
Status
ARNP9312860
Anesthesia Administration
Florida
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
D W Mcmillan Memorial Hospital (010099)
Brewton, AL
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Bradley Daniel Jackson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
D.w. Mcmillan Memorial Hospital (3072558378)
17
Other Medical Identifiers:
Other legacy medical identifiers associated with Bradley Daniel Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
592-13562
Other
Alabama
BLUE CROSS BLUE SHIELD
G00ME
Other
Florida
BLUE CROSS BLUE SHIELD
P00959140
Other
MEDICARE RAILROAD
126061
Medicaid
Alabama
003243800
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1301 Belleville Ave, Brewton, Alabama
Zip:
36426-1306
Phone Number:
251-809-8429
Fax Number:
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Patients can reach Bradley Daniel Jackson at 4901 Grande Dr, Pensacola, Florida or can call to book an appointment on 850-477-7042.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.