BRADLEY CHARLES JACKSON — NPI 1144005745 (Licensed & Credentialed Transportation Network Company in IRONTON, MO)

CMS-1500 Box 24J / 33a • NPI

1144005745

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

342000000X

Licensed & Credentialed Transportation Network Company

Box 32 Service Location & ZIP+4

10178 HWY 21, IRONTON, MO, 63650

Official NPPES Practice Location

Practice Phone & Referral Fax

(573) 330-2100

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1144005745 (BRADLEY CHARLES JACKSON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1144005745` (NPI-1 Individual Practitioner)
Provider / Legal Name	BRADLEY CHARLES JACKSON
Plain-English Specialty	Licensed & Credentialed Transportation Network Company NUCC Code: `342000000X` (Transportation Network Company)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	10178 HWY 21, IRONTON, MO, 63650
Practice Telephone / Fax	Tel: (573) 330-2100
Administrative Mailing Address	PO BOX 510, PILOT KNOB, MO, 63663-0510
Enumeration & Last Sync	Enumerated: 2023-08-30 \| CMS Record Updated: 2023-08-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10178 HWY 21, IRONTON, MO, 63650

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Plain-English Taxonomy & CMS Crosswalk (342000000X)

What Does Taxonomy Code 342000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 342000000X translates to:
"Licensed & Credentialed Transportation Network Company"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Transportation Network Company for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRADLEY CHARLES JACKSON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`342000000X` — Transportation Network Company Plain English: Licensed & Credentialed Transportation Network Company	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BRADLEY CHARLES JACKSON (NPI #1144005745)