Individual provider · Type 1 NPI
Jacob Troy Gibby, MD
Neuroradiology Physician · Provo, UT
NPI number
1083174056
Active
Practice location
3152 N University Ave Ste 100
Provo, UT 84604-4746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 13494110-1205 (UT) |
| Diagnostic Radiology Physician | 2085R0202X | 13494110-1205 (UT) |
| Neuroradiology Physician Primary | 2085N0700X | 13494110-1205 (UT) |
Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Another provider at this address
About NPI 1083174056
Jacob Troy Gibby, MD's National Provider Identifier is 1083174056, issued on Mar 25, 2019. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Provo, UT. The record was last updated on Jul 24, 2025.