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

Jacob Jackson, DO

Individual provider Surgery Physician · NPI 1861832644

Jacob Jackson, DO is a General Surgery in Bridgeton, Missouri. Qualified in 2013, 13 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2013
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

12266 De Paul Dr Ste 305
Bridgeton, MO 63044-2514
Phone: (314) 770-0991
Show map & directions

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

Additional practice locations (1)

  • 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 — (314) 966-9100

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2015012493 (MO)

Record details

NPI number1861832644
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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