Louis Bernard Jacques, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0036186 Issued in MD

Practice address

7500 Security Blvd
Mailstop C1-09-06
Baltimore, MD 21244-1849

Phone

(410) 786-4512

Fax

(410) 786-9286

NPI assigned

Jun 30, 2005

Last updated

Nov 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1659378198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 BARRACUDA COVE CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014719",
            "telephone_number": "410-349-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 SECURITY BLVD",
            "address_2": "MAILSTOP C1-09-06",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212441849",
            "telephone_number": "410-786-4512",
            "fax_number": "410-786-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "LOUIS",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0036186",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101042011",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD14879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Jacobstein, M.D.
• Julie M Jacobstein, M.D.
• Aaron M. Jacoby, PH.D.
• Elad Jacoby, M.D.
• Aidan Jacques, M.D.
• Jade ABA Therapy LLC
• Jade Health & Wellness, LLC
• Shilpa Naren Jadeja, MD
• Jades Counseling and Mental Health Services
• Anshruta Jadhav

• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.