BRADLEY S JACOBS (NPI# 1104882976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104882976 |
| Entity Type | Individual |
| Full Name | BRADLEY S JACOBS |
| Credential | MD |
| Practice Address |
30 E Apple St Ste 5254a Dayton OH 45409-2939 |
| Practice Telephone | 9372084200 |
| Practice Fax Number | 9372084205 |
| Mailing Telephone | 9372084200 |
| Mailing Fax Number | 9372084205 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35-086454 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2633823 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406863 | Bradley Jacobs | Case Manager/Care Coordinator | 125 Big Sink Rd Ste B, Versailles, KY 40383-1956 | 2020-08-05 |
| 1356444384 | Bradley John Jacobs | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-09-06 |
| 1194721498 | Bradley Edgar Jacobs | Obstetrics & Gynecology | 2927 Lyndhurst Ave, Winston-salem, NC 27103-4005 | 2005-06-22 |
| Street Address |
30 E APPLE ST STE 5254A |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979000 | Gnan N Thakore | Internal Medicine | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2005-08-22 |
| 1366942096 | Anuradha Surya Devara | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2018-02-19 |
| 1598289928 | Cynthia Maria Schwartz | Clinical Nurse Specialist | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2017-07-27 |
| 1548718802 | Daniel Scott Johnstone | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2016-09-15 |
| 1851784359 | Krischelle Panganiban Rowland | Nurse Practitioner | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2015-03-09 |
| 1023419041 | Sarah Hendrickson | Nurse Practitioner | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2014-09-09 |
| 1063848240 | Michael Kentris | Psychiatry & Neurology | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-09-19 |
| 1144561903 | Lisa Renee Meiring | Clinical Nurse Specialist | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-03-04 |
| 1013288364 | Jessica Lynn Galli Robertson | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2012-01-18 |
| 1811273113 | Brandi Nicole Bell | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721305 | Stephen P Fuqua | Psychiatry & Neurology | 30 E Apple St # 5254, Dayton, OH 45409-2939 | 2020-05-08 |
| 1790032118 | Cassandra J Milling | Psychiatry & Neurology | 128 E Apple St Fl 2, Wsu Neurology Weber Bldg Suite 2834, Dayton, OH 45409-2902 | 2012-08-06 |
| 1073566147 | Robert P Hardman Md Inc | Psychiatry & Neurology | 300 Forest Ave, Dayton, OH 45405-4536 | 2006-05-18 |
| 1649266016 | Babar Hasan | Psychiatry & Neurology | 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813 | 2005-09-21 |
| 1114922390 | Joel Vandersluis | Psychiatry & Neurology | 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459-4296 | 2005-06-15 |
| 1568085959 | Louis Curtis | Psychiatry & Neurology | 1 Wyoming St, Dayton, OH 45409-2711 | 2020-05-20 |
| 1972126274 | Graham Kiyoshi Reid | Psychiatry & Neurology | 30 E Apple St Ste 6257, Dayton, OH 45409-2939 | 2020-05-20 |
| 1386050821 | Drew William Dula | Psychiatry & Neurology | 1975 Miamisburg Centerville Rd, Dayton, OH 45459 | 2014-07-04 |
| 1063848240 | Michael Kentris | Psychiatry & Neurology | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-09-19 |
| 1174961874 | Kenneth Douglas Pugar | Psychiatry & Neurology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2013-06-05 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on BRADLEY S JACOBS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.