NPIMap

Individual provider Active NPI

Brett Taylor Jackson

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1336898295
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0075175 Issued in CO
Practice address
1120 Wellington Ave
Grand Junction, CO 81501-6129
Phone
(970) 241-6011
NPI assigned
Mar 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0075175 CO Primary

Addresses

Primary practice location

1120 Wellington Ave
Grand Junction, CO 81501-6129

Mailing address

475 W 940 N
Provo, UT 84604-3301
Phone (801) 357-7940

Other practice location 1

475 W 940 N
Provo, UT 84604-3301
Phone (801) 357-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240409002021 UT Practitioner - Family Practice 6800234972 Reassigns benefits to 1 organization
I20250612004121 CO Practitioner - Family Practice 6800234972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Partners IncGroup PAC ID 7810893161, 58 clinicians

Practice addresses (Care Compare)

1120 Wellington Ave
Grand Junction, CO 81501-6129
Phone (970) 241-6011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0075175COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jan 27, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Primary Care Partners, Inc. CurrentSince Aug 4, 2025 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 27, 2024 Accepting new patients
Primary Care Partners, Inc. Family Medicine Current Accepting new patients
Primary Care Partners, Inc. Family Medicine CurrentSince Aug 4, 2025 Accepting new patients

Locations

3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437

1120 Wellington Ave
Grand Junction, CO 81501
Phone (970) 241-0170

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

98 N 1100 E
Ste 101
Highland, UT 84003
Phone (801) 492-2273

3249 N 1200 W
Lehi, UT 84043
Phone (801) 234-5880

395 W Cougar Blvd
Ste 205
Provo, UT 84604
Phone (801) 357-1770

395 W Cougar Blvd
Provo, UT 84604
Phone (801) 357-4141

475 W 940 N
Provo, UT 84604
Phone (801) 357-7909

819 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-6600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1336898295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 W 940 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043301",
            "telephone_number": "801-357-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016129",
            "telephone_number": "970-241-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 W 940 N",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043301",
            "country_code": "US",
            "telephone_number": "801-357-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRETT",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-19",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0075175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.