Individual provider

Brock Jackson, MD

Specialist Medicare enrolled

Brock Jackson, MD is a Specialist in Phoenix, AZ, registered under NPI 1821093667.

Getting there

The practice address on file is 1661 E CAMELBACK RD SUITE 160, Phoenix, AZ 85016. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1661 E CAMELBACK RD SUITE 160, Phoenix, AZ 85016 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
32949 AZ Specialist primary

This provider holds licence 32949 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Obstetrics/gynecology
PAC ID
7618919523
Enrollment ID
I20050601000307

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Specialist covers

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NUCC Health Care Provider Taxonomy, code 174400000X
Other Service Providers Specialist

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1821093667 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 17, 2005
Last updatedMar 19, 2015
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1661 E CAMELBACK RD
SUITE 160
Phoenix, AZ 85016
(602) 241-1671
Fax (602) 274-6181
Other identifiers 939902 · Medicaid (AZ)
This record was last updated on Mar 19, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1821093667 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 2 1 0 9 3 6 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 4 1 0 9 6 6 3

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1821093667?
NPI 1821093667 is the National Provider Identifier assigned to Brock Jackson, MD in Phoenix, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Specialist cover?
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
How do I contact Brock Jackson, MD?
The phone number on file with NPPES is (602) 241-1671, last updated Mar 19, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Brock Jackson, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1821093667 a valid number?
Yes. 1821093667 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.