Robert Jackson, MD

Individual Active
NPI 1184740045
Urology Physician Meridian, ID

NPI 1184740045 belongs to Robert Jackson, MD, an urology physician with a practice location in Meridian, ID. The NPI was issued on March 22, 2007, and the record was last updated in NPPES on June 2, 2026. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X M-11868 (ID)
Student in an Organized Health Care Education/Training Program 390200000X 4301087650 (MI)
Urology Physician 208800000X 4301087650 (MI)

Practice location

875 S Vanguard Way
Suite 200 D
Meridian, ID 83642
Phone: (208) 782-6730

Local context

Active NPPES records list 41 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 32 of them within 10 miles.

The same primary taxonomy is listed by 80 in Idaho and 19,306 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Robert Elvon Jackson
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

Building software? Fetch this NPI programmatically with the NPILayer Provider API.

curl
curl -H "Authorization: Bearer YOUR_API_KEY" \
  "https://api.npilayer.com/v1/providers/1184740045"

See the API · Get a free API key