Active NPI
Jackson Radiology Associates PA
- Diagnostic Radiology Physician
- Jackson, TN
National Provider Identifier
1699700716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- JACKSON RADIOLOGY ASSOCIATES PA
- Practice address
- 31 Sandstone Cir
Jackson, TN 38305-2073 - Phone
- (731) 240-1747
- Fax
- (731) 240-1755
- NPI assigned
- Jul 11, 2006
- Last updated
- Oct 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Bruno, M.D.
- Title
- President
- Phone
- (731) 240-1747
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | ||
| Body Imaging Physician | 2085B0100X | NU | ||
| Neuroradiology Physician | 2085N0700X | NU | ||
| Nuclear Radiology Physician | 2085N0904X | NU | ||
| Pediatric Radiology Physician | 2085P0229X | NU | ||
| Radiation Oncology Physician | 2085R0001X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary | |
| Therapeutic Radiology Physician | 2085R0203X | NU | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | NU | ||
| Radiological Physics Physician | 2085R0205X | NU | ||
| Diagnostic Ultrasound Physician | 2085U0001X | NU |
Addresses
Primary practice location
31 Sandstone Cir
Jackson, TN 38305-2073
Mailing address
PO Box 678210
Dallas, TX 75267-8210
Phone (800) 841-4236
Other practice location 1
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 240-1747
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG753Z | Other | CA | CALIFORNIA MDCR |
| 315752 | Other | CO | MEDICARE PIN |
| 3729238 | Medicaid | TN | |
| CG710B | Other | NEVADA MEDICARE | |
| DD9799 | Other | RAILROAD MEDICARE | |
| CG710C | Other | HI | PALMETTO HAWAII |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/ | Other | Management Services Network, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, HI, CO, FL, GA, IL, UT, MI, AL
Enrollment records 9
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2313648 | Jackson Radiology Associates | Certificate of waiver | Nov 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
1947 Madison St
Ste A
Clarksville, TN 37043
1314 US Highway 45 N
Henderson, TN 38340
Phone (731) 983-5716
1203 Vann Dr
Jackson, TN 38305
Phone (731) 664-5150
1270 Union University Dr
Ste A
Jackson, TN 38305
Phone (731) 664-0103
17 Centre Plaza Dr
Jackson, TN 38305
Phone (731) 512-0104
213 Sterling Farm Dr
Jackson, TN 38305
31 Sandstone Cir
Jackson, TN 38305
Phone (731) 668-0800
60 Physicians Dr
Jackson, TN 38305
Phone (731) 664-9928
86 Stonebridge Blvd
Jackson, TN 38305
Phone (731) 300-0227
Practitioners & affiliated clinicians
Practitioners 72
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular & Interventional Radiology Physician
- Jackson, TN
- NPI 1518934215
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1598732299
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1275500597
-
- Nurse Practitioner
- Jackson, TN
- NPI 1063756922
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1376756742
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1952045197
-
- Vascular & Interventional Radiology Physician
- Jackson, TN
- NPI 1235558537
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1871548818
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1689617433
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1073557831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792195200000",
"number": "1699700716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 678210",
"city": "DALLAS",
"state": "TX",
"postal_code": "752678210",
"telephone_number": "800-841-4236",
"fax_number": "423-826-1286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 SANDSTONE CIR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052073",
"telephone_number": "731-240-1747",
"fax_number": "731-240-1755"
}
],
"practiceLocations": [
{
"address_1": "620 Skyline Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383013923",
"country_code": "US",
"telephone_number": "731-240-1747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JACKSON RADIOLOGY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2026-10-17",
"certification_date": "2026-10-17",
"status": "A",
"authorized_official_last_name": "BRUNO",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "731-240-1747",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MDCR",
"identifier": "CG753Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "315752",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3729238",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA MEDICARE",
"identifier": "CG710B",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD9799",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO HAWAII",
"identifier": "CG710C",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
"affiliation": "Y",
"endpointDescription": "urn:oid:2.16.840.1.113883.3.1036.1",
"affiliationName": "Management Services Network, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2357 Warm Springs Rd Ste 400",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "319046874",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jackson, TN
- Jackson Medical Services
- Jackson OB-GYN Associates, P.C.
- Jackson Ophthalmology ASC LLC (Physicians Surgery Center)
- Jackson Pathology Group a Professional Corporation
- Jackson Pulmonary Care, PA (JPC Medicine Shoppe)
- Jackson Regional Womens Center
- Jackson Residential, LLC (Alexandria Place)
- Jackson Senior Services, LLC (Regency Retirement Village)
- Jackson Spa LLC (Jackson Massage and Day Spa)
- Jackson Surgical Associates. PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.