NPIMap

Individual provider Active NPI

Bryon Nicholas Jacoby, MD

  • Maternal & Fetal Medicine Physician
  • Milford, DE
National Provider Identifier
1134105323
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
C1-0026927 Issued in DE
Practice address
101 Wellness Way Ste 250
Milford, DE 19963-4396
Phone
(302) 744-6220
Fax
(302) 734-8454
NPI assigned
Dec 20, 2005
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X C1-0026927 DE Primary

Addresses

Primary practice location

101 Wellness Way Ste 250
Milford, DE 19963-4396

Mailing address

640 S State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688

Other identifiers 1

IdentifierTypeStateIssuer
250808059MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA, DE3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130129000252 VA Practitioner - Obstetrics/Gynecology 1951332006 Reassigns benefits to 1 organization
I20171207000896 PA Practitioner - Obstetrics/Gynecology 1951332006 Reassigns benefits to 1 organization
I20260410002312 DE Practitioner - Obstetrics/Gynecology 1951332006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

640 S State St
Dover, DE 19901-3530

640 S State St
Dover, DE 19901-3599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226087MAMDSocial Worker
C1-0026927DEMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Jan 1, 2013 Accepting new patients
Three Lower Counties Community Services, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Three Lower Counties Community Services Inc Current Accepting new patients
Lancaster General Hospital CurrentSince Dec 4, 2017 Accepting new patients
Three Lower Counties Community Services, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Maternal & Fetal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Lancaster General Hospital Maternal & Fetal Medicine CurrentSince Dec 4, 2017 Accepting new patients
Bayhealth Medical Center, Inc. Past Accepting new patients
Three Lower Counties Community Services, Inc. PastSince May 12, 2024 Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients
Maine Behavioral Healthcare Past Accepting new patients

Locations

12137 Elm St
Princess Anne, MD 21853
Phone (410) 651-1000

12145 Elm St
Princess Anne, MD 21853
Phone (410) 651-2204

1647 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 546-2424

694 Good Dr
Ste 200
Lancaster, PA 17601
Phone (717) 544-3514

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1134105323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WELLNESS WAY STE 250",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199634396",
            "telephone_number": "302-744-6220",
            "fax_number": "302-734-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "BRYON",
        "middle_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "DE",
            "license": "C1-0026927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250808059",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.