T. SCOTT JACKSON MD NPI 1760412076

NPI Information

  • NPI: 1760412076
  • Provider Name: T. SCOTT JACKSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4131 OREGON PIKE
    BROWNSTON, PA
    ZIP 17508
  • Phone: (717) 859-1123

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NPI Details

T. Scott Jackson, MD is a family medicine in Brownston, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. T. Scott Jackson, MD NPI is 1760412076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4131 OREGON PIKE
BROWNSTON, PA
ZIP 17508
Phone: (717) 859-1123
Fax: (717) 859-2898

The enumeration date for this NPI number is 7/3/2006 and was last updated on 1/12/2016.

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
1207Q00000XFamily MedicineMD029835EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
150051189OTHERPENNSYLVANIACAPITAL BLUE
2P002396OTHERPENNSYLVANIAGATEWAY
30010105110006MEDICAIDPENNSYLVANIA
4117553OTHERPENNSYLVANIABLUE SHIELD
5C30601MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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