Bradford Joel Jacobs in Newtown Square - Podiatrist
Bradford Joel Jacobs - NPI 1356397194
Bradford Joel Jacobs is a Podiatrist in Newtown Square, Pennsylvania. Bradford Joel Jacobs practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Bradford Joel Jacobs is 1356397194. The last update date is 2020-02-17.
Bradford Joel Jacobs's current location address is 3319 W Chester Pike, Newtown Square, Pennsylvania. You can contact this provider via phone number 6104312971 and fax number 6103562015. The mailing address for Bradford Joel Jacobs is 3319 W Chester Pike, Newtown Square, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradford Joel Jacobs |
|---|---|
| Address | 3319 W Chester Pike, Newtown Square, Pennsylvania |
| Phone Number | 6104312971 |
| Fax Number | 6103562015 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1356397194 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2020-02-17 |
Provider Mailing Address Detail
| Address | 3319 W Chester Pike |
|---|---|
| City | Newtown Square |
| State | Pennsylvania (PA) |
| Post Code | 190734226 |
| Phone Number | 6104312971 |
| Fax Number | 6103562015 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | SC002599L |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 909856 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bradford Joel Jacobs by the Centers for Medicare & Medicaid Services?
The Bradford Joel Jacobs has been issued the NPI (National Provider Identifier) 1356397194, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bradford Joel Jacobs?
The Bradford Joel Jacobs is physically situated at 3319 W Chester Pike, in the city of Newtown Square, state of PA, with the postal code 190734226.
What is Bradford Joel Jacobs's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bradford Joel Jacobs is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did the Bradford Joel Jacobs receive its 1356397194 assignment from the Centers for Medicare & Medicaid Services?
The Bradford Joel Jacobs was assigned its 1356397194 by the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date were the details related to Bradford Joel Jacobs most recently updated or revised?
The information pertaining to Bradford Joel Jacobs, including its address, specialty, and other relevant details, was last updated or revised on 2020-02-17.