Bobby R Jacobs MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17384 Issued in OK

Legal business name

BOBBY R JACOBS MD PC

Practice address

6424 N Portland Ave
Oklahoma City, OK 73116-2012

Phone

(405) 840-9441

Fax

(405) 840-2866

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bobby Reed Jacobs, MDNPI 1528005725

Title

Owner

Phone

(405) 840-9441

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bobby Reed Jacobs, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1528005725
  Authorized official Same address or phone
• Kristi N Lawson, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1366745168
  NPD (past)
• Shelly L Venters-Jacobs, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Edmond, OK
  • NPI 1841372349
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780802165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162012",
            "telephone_number": "405-840-9441",
            "fax_number": "405-840-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162012",
            "telephone_number": "405-840-9441",
            "fax_number": "405-840-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY R JACOBS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-840-9441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "17384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalisha Boatman
• McKinley Boatner, PA
• Sean McKinley Boatner Sr.
• Jay Saunders Bobb, DO
• Bobby Moore DPT, PLLC (Sideout Sports Physical Therapy)
• Toni Bobek
• Delandria Bobo
• Mary L Bobo, LCSW
• Bobs Pharmacy
• Taylor Jolie Bochnowski

• Internal Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Internal Medicine Physician in Oklahoma

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.