Individual
MR. BRYCE V JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1937 HARRISON AVE, PANAMA CITY, FL 32405-4543
(850) 784-6877
(850) 785-5346
Mailing address
1937 HARRISON AVE, PANAMA CITY, FL 32405-4543
(850) 784-6877
(850) 785-5346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME48532
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME48532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03638
BCBS OF FL
FL
05
—
043532500
—
FL
Enumeration date
01/27/2006
Last updated
09/27/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us