Individual provider · Type 1 NPI

Brandon Thomas Jacobs, MD

Student in an Organized Health Care Education/Training Program · Fort Wayne, IN

NPI number 1407607807 Active

Practice location

2231 Carew St
Fort Wayne, IN 46805-4713

Call (260) 373-7765 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An 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.

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About NPI 1407607807

Brandon Thomas Jacobs, MD's National Provider Identifier is 1407607807, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 23, 2025.