DR. RICHARD DAVID JACOBSON


Address: 4228 Brookfield Dr, Charlotte, NC 28210
Phone: 6153455400

DR. RICHARD DAVID JACOBSON (NPI# 1013968858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013968858
Entity Type Individual
Full Name DR. RICHARD DAVID JACOBSON
Credential MD, PHD
Practice Address 4228 Brookfield Dr
Charlotte
NC 28210
Mailing Address 3 Maryland Farms Ste 200
Brentwood
TN 37027-5005
Practice Telephone 6153455400
Mailing Telephone 6153455400
Mailing Fax Number 8884686603
Enumeration Date 2006-05-15
Last Update Date 2020-10-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
ME127847 FL Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
31216 WI Allopathic & Osteopathic Physicians
N 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
ME127847 FL Allopathic & Osteopathic Physicians
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
01389 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE LICENSE ME127847 01
NC 5915702 05

Other Providers RICHARD JACOBSON

NPI Name Taxonomy Address Enumeration
1952443673 Richard Samuel Jacobson Pediatrics 10515 Balboa Bl., Suite 250, Granada Hills, CA 91344 2007-02-12
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1114411824 Richard Michael Jacobson Counselor 401 W Morrison Ave Ste B, Santa Maria, CA 93458-6124 2018-06-15
1144601667 Richard A Jacobson Jr. Surgery 1653 W Congress Pkwy, Chicago, IL 60612-3833 2015-06-10
1063614477 Richard Harvey Jacobson Psychiatry & Neurology 1100 Ward Ave, Suite 1070, Honolulu, HI 96814-1600 2007-06-05
1184751125 Richard Leslie Jacobson Dentist 881 Alma Real Dr, Suite 200, Pacific Palisades, CA 90272-3731 2007-02-27
1750391280 Richard G Jacobson Physician Assistant 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 2006-08-08
1023042686 Richard Yngve Jacobson Jr. Nurse Anesthetist, Certified Registered 112 Jefferson St, West Union, IA 52175 2006-07-10
1477500288 Richard Wesley Jacobson Emergency Medicine 1 Saint Mary Pl, Shreveport, LA 71101-4343 2006-05-27

Office Location

Street Address 4228 BROOKFIELD DR
City CHARLOTTE
State NC
Zip Code 28210

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952920860 Rx Care 14 LLC Pharmacy 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 2020-04-10
1427697622 David Durant Dinsmore Nurse Anesthetist, Certified Registered Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 2020-01-06
1790256964 Tele Phys Inc Internal Medicine 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 2018-12-16
1104395896 Bridgett Williams Behavior Technician 7806 Andover Woods Drive, Charlotte, NC 28210 2018-11-26
1053880518 Low-t Physicians Professional Association Internal Medicine 10430 Park Road Suite 100a, Charlotte, NC 28210 2018-11-14
1053895102 Carolinas Medical Equipment LLC Durable Medical Equipment & Medical Supplies 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 2018-09-24
1679066658 Afc Urgent Care and Family Care of Wnc, Pllc Clinic/Center 10102 Johnston Rd, Charlotte, NC 28210 2018-06-13
1346777018 Hopeway Foundation Clinic/Center 1717 Sharon Road West, Charlotte, NC 28210 2017-05-12
1891154688 Jessie Lee Ogienko Social Worker 5960 Fairview Rd Ste 328, Charlotte, NC 28210 2016-02-22
1699151985 Carolina Complete Psychiatry, Pllc Physician Assistant 5950 Fairview Road, Suite 708, Charlotte, NC 28210 2015-08-10
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033675079 Novant Medical Group Inc Psychiatry & Neurology 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 2019-02-14
1023415981 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 12311 Copper Way, Suite 200-a, Charlotte, NC 28277-3642 2014-11-20
1073932885 Neurology Wellness, Pllc Psychiatry & Neurology 10508 Park Rd, Ste 130, Charlotte, NC 28210-8525 2014-04-09
1780011825 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 2608 E 7th St, Charlotte, NC 28204-4375 2013-10-03
1518394659 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 101 E W T Harris Blvd, Bldg 3000 Ste 3301b, Charlotte, NC 28262-3485 2013-10-03
1720415946 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 1001 Blythe Blvd, Ste 200, Charlotte, NC 28203-5866 2013-10-02
1922367077 Carolinas Medical Center-northeast Psychiatry & Neurology 4501 Cameron Valley Pkwy, Suite 301-a, Charlotte, NC 28211-4297 2012-05-10
1699060384 Carolinas Medical Center-northeast Psychiatry & Neurology 101 E W T Harris Blvd, Bldg 3000, Suite 3301b, Charlotte, NC 28262-7000 2011-06-10
1972806321 Cmc-northeast, Inc. Psychiatry & Neurology 1001 Blythe Blvd, Suite 200 Cpnc - Charlotte Specialty Center, Charlotte, NC 28203-5866 2010-12-07
1265747497 Cmc-northeast, Inc. Psychiatry & Neurology 1010 Edgehill Rd N, Carolinas Pediatric Neurology Care - Charlotte, Charlotte, NC 28207-1885 2010-08-12
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28210

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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