R. Bruce Jackson II, M.D., P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

24975 Issued in NC

Legal business name

R. BRUCE JACKSON II, M.D., P.A.

Practice address

222 Longvue Dr
Boone, NC 28607-5060

Phone

(828) 262-9696

Fax

(828) 265-2306

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Bruce Jackson I, M.D.

Title

Doctor

Phone

(828) 262-9696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619064573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LONGVUE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075060",
            "telephone_number": "828-262-9696",
            "fax_number": "828-265-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LONGVUE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075060",
            "telephone_number": "828-262-9696",
            "fax_number": "828-265-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. BRUCE JACKSON II, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "828-262-9696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "24975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denisa Savannah Puckett, MD
• Valerie Doggett Purcell, M.D.
• Meg Groeber Putnam, LCMHCA
• Taylor Quattlebaum, MD
• Lauren R Queen, OTR/L
• R. Lee Warren, DDS and Eric J. Grimes, DDS, PLLC
• R. Lee Warren, DDS, PA
• Tara Marie Rainey, PA-C
• Sarah Branum Ramsey, M.A., CCC-SLP
• Paige Williams Randall, M.S. CCC-SLP

• Obstetrics & Gynecology Physician in Boone, NC
• Providers in Boone, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.