Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Cody Boyer Jackson, MD, PHD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1255033304

Dr. Cody Boyer Jackson, MD, PHD is a Critical Care Medicine (Internal Medicine) Physician in Philadelphia, Pennsylvania. Licensed in Oregon and Pennsylvania. Registered with an NPI since 2023.

Licensed in
OR, PA
In the registry since
2023
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3400 Civic Center Blvd Fl 1
Philadelphia, PA 19104-5161
Phone: (215) 615-5864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD223559 (OR)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence MT237978 (PA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MT237978 (PA)

Record details

NPI number1255033304
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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