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

Dr. Edgar Basil Jackson, MD

Individual provider Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1598833410

Dr. Edgar Basil Jackson, MD is an Addiction Medicine (Psychiatry & Neurology) Physician in Milwaukee, Wisconsin. Works from 4 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1225 W Mitchell St 223
Milwaukee, WI 53204-3383
Phone: (414) 383-4455
Fax: (414) 727-8730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2555 N Dr Martin Luther King Jr Dr, Milwaukee, WI 53212-2709 — (414) 372-8080
  • 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 — (414) 760-3900
  • 8440 W National Ave, Milwaukee, WI 53227-1734 — (414) 405-1682

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 13939-20 (WI)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence AJ8930984 XJ8930984 (WI)

Record details

NPI number1598833410
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024
Mailing address1225 W Mitchell St, 223, Milwaukee, WI 53204-3383

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