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

Dr. Sidney Boggess Jackson, MD

Individual provider Family Medicine Physician · NPI 1285603969

Dr. Sidney Boggess Jackson, MD is a Family Medicine Physician in Clarksburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
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

1 Medical Center Drive Louis A Johnson VA Health Care System
Clarksburg, WV 26301
Phone: (304) 623-3461
Fax: (304) 626-7034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11573 (WV)

Record details

NPI number1285603969
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESApril 16, 2012
Mailing address278 Ridgeway Dr, Bridgeport, WV 26330-1152

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