Russell Jackson is one of 123 orthopedic surgeons practicing in San Antonio, Texas .
Russell Jackson practices with R Brent Jackson DO PA.
Registry record (NPPES)
NPI
1073752879
Type
Type 1 · Individual
Primary taxonomy
Orthopaedic Surgery · 207X00000X
Address on file
155 E Sonterra Blvd Ste 111
Enumerated
Feb 18, 2009
Record last updated
May 6, 2019
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXOrthopedic Surgery
Revalidation due
No date set by CMS
The registry stops here. NPivot keeps going.
Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
See the full profile free
Free account. No card, no call.
Practice locations
155 E Sonterra Blvd Suite 111San Antonio , TX 78258
More orthopedic surgeons in San Antonio
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
NPivot · NPI lookup & provider intelligence
NPivot uses data from public CMS, NPPES & HRSA sources and is not affiliated with, endorsed by, or sponsored by CMS, HRSA, or any government agency. © 2026 NPivot · a Next Tier Careers product.