NPI age
19 years
Enumerated 2007-03-22
● Active
Type 1 · Individual
Robert E. Jackson, M.D.
Jackson is 1 of 9 urology providers in Boise and 1 of 78 in Idaho.
Primary specialty
Urology
Plus 1 subspecialty
Licensed in
MI
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-12-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 78 active urology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
35% of peers hold multiple states
Subspecialties
1
In the 41% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
520 S Eagle Rd, Suite 3112
Boise, ID 837126241
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Urology PrimaryA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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