Jackson & Bigelow MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JACKSON & BIGELOW MD PC

Practice address

400 Joseph Dr Ste B
Midland, MI 48642-8636

Phone

(989) 631-2020

Fax

(989) 835-6686

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

James Lawrence Jackson, M.D.NPI 1427052091

Title

President

Phone

(989) 631-2020

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Lawrence Jackson, M.D.

  • Ophthalmology Physician
  • Midland, MI
  • NPI 1427052091
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Jon Bigelow, M.D.

  • Ophthalmology Physician
  • Midland, MI
  • NPI 1407853948
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1508994211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOSEPH DR STE B",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428636",
            "telephone_number": "989-631-2020",
            "fax_number": "989-835-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JOSEPH DR STE B",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428636",
            "telephone_number": "989-631-2020",
            "fax_number": "989-835-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON & BIGELOW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-05-23",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-631-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104430921",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0256160001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103085182",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "180E645300",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103103914",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN3193",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104430959",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "180E645300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ith of Michigan LLC
• Carter Iuni
• J&a Counseling and Evaluations Inc.
• Ghazwan Jabri
• Whitney Nicole Jacks, AUD
• Douglas Reed Jackson, M.D.
• James Lawrence Jackson, M.D.
• Katie Michelle Jackson, MA, LPC
• Caitlyn Grace Jacobs, LLMSW
• Sarah Jacobson

• Ophthalmology Physician in Midland, MI
• Providers in Midland, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.