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

Dr. Breaunnah Bloomer Jackson, MD

Individual provider Psychiatry Physician · NPI 1831759877

Dr. Breaunnah Bloomer Jackson, MD is a Psychiatry in Kansas City, Missouri. Graduated from Louisiana State University School of Medicine in Shreveport in 2019, 7 years ago. Practices with Mccd Fl Psychiatry Services PA, a 729-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2019
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

10918 Elm Ave Ste 102
Kansas City, MO 64134-2284
Phone: (816) 767-4346
Fax: (816) 251-6367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 325879 (LA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 313326 (LA)

Record details

NPI number1831759877
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesNEUROPSYCHIATRY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2019 (7 years in practice)
Group practice McCd Fl Psychiatry Services Pa — 729 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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