NPI Details
Russell Brent Jackson, D.O. is an orthopaedic surgery in San Antonio, TX with 18 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Russell Brent Jackson, D.O. NPI is 1073752879. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:2008
The provider's business location address is:
155 E SONTERRA BLVD STE 111
SAN ANTONIO, TX
ZIP 78258-988
Phone: (210) 729-1900
Fax: (210) 729-1901
The NPI 1073752879 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
- Aspiration and/or injection of fluid from small joint (HCPCS:20600)
- Injection into tendon at attachment to bone or muscle (HCPCS:20551)
- X-ray of wrist, minimum of 3 views (HCPCS:73110)
- X-ray of finger, minimum of 2 views (HCPCS:73140)
- X-ray of hand, minimum of 3 views (HCPCS:73130)
- Release of wrist ligament using an endoscope (HCPCS:29848)
- Injection into tendon or ligament (HCPCS:20550)
- Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
- X-ray of elbow, 2 views (HCPCS:73070)
- Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
- Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 2/18/2009 and was last updated on 5/6/2019.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | P5384 | TEXAS | Yes |