Active NPI
Brian D Jackson, MD
- Allergy & Immunology Physician
- Hot Springs, AR
National Provider Identifier
1467497461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- C8504
- Practice address
- 151 Harmony Park Circle
Hot Springs, AR 71913 - Phone
- (501) 623-1311
- Fax
- (501) 321-1214
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | C8504 | AR | Primary |
Addresses
Primary practice location
151 Harmony Park Circle
Hot Springs, AR 71913
Mailing address
151 Harmony Park Circle
Hot Springs, AR 71913
Phone (501) 623-1311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123996001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 Harmony Park
Hot Springs, AR 71913-5417
Phone (501) 623-1311
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.06 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8504 | AR | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Allergy & Asthma Clinic P.a. | Current | Accepting new patients |
Locations
5 Medical Park Dr
Ste 305
Benton, AR 72015
Phone (501) 574-7400
151 Harmony Park Cir
Hot Springs National Park, AR 71913
Phone (501) 623-1311
Interoperability endpoints
- jackson.brian.018.0040061@jaas.meditab.direct-ci.com
Organizations & group practices 1
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.
-
- Specialist
- Hot Springs, AR
- NPI 1326342452
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1316144546
-
- General Practice Physician
- Hot Springs, AR
- NPI 1497880124
Hospital
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1689628232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1467497461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 HARMONY PARK CIRCLE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "71913",
"telephone_number": "501-623-1311",
"fax_number": "501-321-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 HARMONY PARK CIRCLE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "71913",
"telephone_number": "501-623-1311",
"fax_number": "501-321-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "BRIAN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2024-05-20",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "AR",
"license": "C8504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123996001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.