Doctor profile · Federal record
Dr. Doreen Jackson, MD
Colon & Rectal Surgery Physician · Surgery Physician · Colon & Rectal Surgery Physician · General Practice Physician · Travis Air Force Base, CA
- NPI 1649615287
- 13 yrs on file
- Licensed in 3 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
101 Bodin Circle
Travis Air Force Base, CA 945351800
(919) 753-6879
Credentials & registration
- NPI registered
- May 2013 — 13 yrs on file
- Profile last updated
- August 19, 2022
- Specialty taxonomy
- 208C00000X — NUCC code
- State licenses (3)
- California #171636 · Florida #ME139661 · North Carolina #204413
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649615287. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$51
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PolyNovo North America LLC | 1 | $26.39 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $24.30 |
By nature of payment
Frequently asked questions
What is Dr. Doreen Jackson's medical specialty?
Dr. Doreen Jackson practices Colon & Rectal Surgery Physician in Travis Air Force Base, CA.
Where does Dr. Doreen Jackson practice?
Dr. Doreen Jackson practices at 101 Bodin Circle, Travis Air Force Base, CA 945351800. Office phone: 9197536879.
What is Dr. Doreen Jackson's NPI?
Dr. Doreen Jackson's National Provider Identifier (NPI) is 1649615287, issued by NPPES.