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DR. BRANDON THOMAS JACOBS MD
NPI 1407607807
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Active since April 01, 2024PECOS Enrolled
2231 CAREW ST, FORT WAYNE, IN 46805(260) 373-7765 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brandon Thomas Jacobs Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON THOMAS JACOBS MD (NPI 1407607807) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407607807
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRANDON THOMAS JACOBSCredential: MD
Location Address2231 CAREW STFort Wayne, IN 46805-4713
Mailing Address2231 Carew StFort Wayne, IN 46805-4713 · (260) 373-7765
Phone(260) 373-7765
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1407607807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
2231 CAREW ST, Fort Wayne, IN 46805
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brandon Thomas Jacobs Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR H CEPEDA MD
Internal Medicine (Infectious Disease)
2231 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 373-9935
JOHN M FALATKO
Internal Medicine
2231 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 373-7765
DR. MOHAMMAD O. ALMOUJAHED M.D.
Internal Medicine (Infectious Disease)
2231 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 373-9935
NATHAN SCHMITT DO
Internal Medicine
2231 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 373-7765
RENATE GYENGE WRIGHT DO
Internal Medicine
2231 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 373-9935
JASON R BAILEY DO
Internal Medicine (Infectious Disease)
2231 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 373-9935
DR. JOHN S. PIDGEON MD
Psychiatry & Neurology (Neurology)
2231 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 425-6780
NASSER DEAN ZBEEB
Internal Medicine
2231 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 373-7765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Jacobs's NPI number?

The NPI number for Brandon Jacobs is 1407607807. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Brandon Jacobs located?

Brandon Jacobs practices at 2231 Carew St, Fort Wayne, IN 46805. The listed phone number is (260) 373-7765.

What is Brandon Jacobs's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brandon Jacobs enrolled in Medicare?

Yes. Brandon Jacobs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Jacobs was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.