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

Dr. Matthew Wesley Jackson, DO

Individual provider Internal Medicine Physician · NPI 1497014351

Dr. Matthew Wesley Jackson, DO is an Internal Medicine in Bronx, New York. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2012, 14 years ago. Practices with Bronx Medical Practice PC, a 136-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NY
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 618-0401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1504 Twin Oaks Dr, Horseheads, NY 14845-3307 — (239) 340-8064
  • 1504 Twin Oaks Dr, Horseheads, NY 14845-3307 — (239) 340-8064

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 275775 (NY)

Record details

NPI number1497014351
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 14, 2012
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2012 (14 years in practice)
Group practice Bronx Medical Practice Pc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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