DR. BRYAN JOHN JACOBS M.D.
NPI 1902210404
Pediatrics in Miamisburg, OH

Q: What is Bryan Jacobs's NPI number?

The NPI number for Bryan Jacobs is 1902210404. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Q: What is Bryan Jacobs's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Jacobs was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 12, 2014PECOS Enrolled

3333 W TECH RD STE 220, MIAMISBURG, OH 45342(937) 885-4475(937) 885-3670 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2025, Feb 11, 2025, Nov 11, 2024 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Bryan John Jacobs M.d. NPPES

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

DR. BRYAN JOHN JACOBS M.D. (NPI 1902210404) is an individual pediatrics provider in Miamisburg, Ohio, licensed in Ohio (35.151519) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902210404

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. BRYAN JOHN JACOBSCredential: M.D.

Location Address3333 W TECH RD STE 220Miamisburg, OH 45342-0956

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129

Phone(937) 885-4475

Fax(937) 885-3670

Sole ProprietorNo

Enumeration DateJune 12, 2014

Last NPPES UpdateFebruary 24, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1902210404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in OH · 35.151519✔ Licensed in NE · 29116

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3333 W TECH RD STE 220, Miamisburg, OH 45342

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Secondary Practice Locations 2

Location 1113 Lielmanis AveHurlburt Field, FL 32544-5613 · Phone (850) 881-5222 · Fax (850) 881-3123

Location 24881 Sugar Maple DrWright Patterson AFB, OH 45433-5529 · Phone (937) 522-4784

Other Identifiers 1

Medicaid0121663OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

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. Bryan John Jacobs M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

CORNERSTONE PEDIATRICS LLC

Pediatrics