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JACOBUS BOTHA M.D.
NPI 1992639967
Student in an Organized Health Care Education/Training Program in Southfield, MI

Active since June 12, 2026
22250 PROVIDENCE DRIVE, SUITE #703A, SOUTHFIELD, MI 48075(248) 849-5862(248) 849-8117 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacobus Botha M.d. NPPES

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

JACOBUS BOTHA M.D. (NPI 1992639967) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1992639967
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOBUS BOTHACredential: M.D.
Location Address22250 PROVIDENCE DRIVE, SUITE #703ASouthfield, MI 48075-4818
Mailing Address22250 Providence Drive, Suite #703aSouthfield, MI 48075-4818 · (248) 849-5862 · Fax (248) 849-8117
Phone(248) 849-5862
Fax(248) 849-8117
Sole ProprietorNo
Enumeration DateJune 12, 2026
✔ NPI 1992639967 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.
22250 PROVIDENCE DRIVE, Southfield, MI 48075
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Other Providers at the Same Location NPPES 18

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

BADAL KARKI M.D.
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DRIVE, 7PMB SUITE # 703A
SOUTHFIELD, MI 48075
Oakland County (248) 849-5862
MARCO ANTONIO YANES ANZOLA M.D.
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DRIVE, 7PMB SUITE #703A
SOUTHFIELD, MI 48075
Oakland County (248) 849-5862
DR. ISHAN RANSIKA PERERA DO
Neurological Surgery
22250 PROVIDENCE DRIVE, 6 PMB SUITE #601
SOUTHFIELD, MI 48075
Oakland County (248) 569-7745
VIJAY K MITTAL MD
Surgery
22250 PROVIDENCE DRIVE, SUITE 703A
SOUTHFIELD, MI 48075
Oakland County (248) 849-5862
CAROLINE MUIA M.D.
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DRIVE, SUITE #500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
ZAHID MAHMOOD M.D.
Family Medicine
22250 PROVIDENCE DRIVE, SUITE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
MR. HARVEY SEKHON M.D.
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DRIVE, 3 PMB #301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281
DR. MEGAN ATKINS MD
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DRIVE, 7PMB SUITE #703A
SOUTHFIELD, MI 48075
Oakland County (248) 849-5862

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 Jacobus Botha's NPI number?

The NPI number for Jacobus Botha is 1992639967. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Where is Jacobus Botha located?

Jacobus Botha practices at 22250 Providence Drive Suite #703a, Southfield, MI 48075. The listed phone number is (248) 849-5862.

What is Jacobus Botha's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacobus Botha was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.