Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley A Jackson, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1124206487

Bradley A Jackson, MD is a Diagnostic Radiology in Fullerton, California. Graduated from University of Southern California Keck School of Medicine in 2006, 20 years ago. Practices with St Jude Radiology Medical Group Inc, a 61-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone: (714) 992-3978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A115326 (CA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence A115326 (CA)

Record details

NPI number1124206487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2008
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address300 Pasteur Dr, Room H3630, Mc: 5642, Stanford University Med Ctr, Dept. Of Int. Radiology, Stanford, CA 94305-5642

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice St Jude Radiology Medical Group Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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