Bruce C. Jackson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4261 Issued in KY

Practice address

108 Osbourne Way Ste 6
Georgetown, KY 40324-9693

Phone

(502) 867-0073

Fax

(502) 867-0560

NPI assigned

Sep 21, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Georgetown Integrated Medicine PSC

  • Adult Medicine Physician
  • Georgetown, KY
  • NPI 1346640208
  NPD

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1992039291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 OSBOURNE WAY STE 6",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249693",
            "telephone_number": "502-867-0073",
            "fax_number": "502-867-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OSBOURNE WAY STE 6",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249693",
            "telephone_number": "502-867-0073",
            "fax_number": "502-867-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Brighton Park Blvd.",
            "address_2": "Ste. 4",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406018447",
            "country_code": "US",
            "telephone_number": "502-695-4455",
            "fax_number": "502-695-0727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRUCE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Irick
• Isaiah House Inc
• Alyssa Margaret Iwinski, DPT
• J & L Compounding Inc.
• Alexandra Christine Jabs, LPCC
• Jacobson Counseling, Health & Wellness Consulting, LLC
• Teresa Jacobson, DBH, LPCC, NCC
• Heather Anne James
• Daisy Jarrell, LCSW
• Jason Rasmussen MD PLLC

• Chiropractor in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.