Brad J. Jacobs, MD.PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

175524 Issued in NY

Legal business name

BRAD J. JACOBS, MD.PC

Practice address

55 E 86TH St
Suite 1B
New York, NY 10028-1059

Phone

(212) 831-7770

Fax

(212) 831-7771

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brad Justin Jacobs, MD

Title

President

Phone

(212) 831-7770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235284308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 86TH ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281059",
            "telephone_number": "212-831-7770",
            "fax_number": "212-831-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 86TH ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281059",
            "telephone_number": "212-831-7770",
            "fax_number": "212-831-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD J. JACOBS, MD.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-831-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "175524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brackman
• Matthew R Brackman, MD
• Conner Bracy, MD
• Keith Emanuel Bracy, D.D.S.
• Niles Bracy, PT, DPT
• Mazdak Moghaddam Bradberry, MD, PHD
• Niyah Alise Bradberry
• Michelle S Bradbury, MD, PHD
• Mary Elizabeth Braddock, PH.D.
• Tanaeja Braddox

• Medical Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.