DR. BRADLEY EDGAR JACOBS (NPI# 1194721498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194721498 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY EDGAR JACOBS |
| Credential | MD |
| Practice Address |
2927 Lyndhurst Ave Winston-salem NC 27103-4005 |
| Practice Telephone | 3367659350 |
| Practice Fax Number | 3367604255 |
| Mailing Telephone | 3367659350 |
| Mailing Fax Number | 3367604255 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2011-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 9801681 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 1280K | 01 |
| NC | 891280K | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406863 | Bradley Jacobs | Case Manager/Care Coordinator | 125 Big Sink Rd Ste B, Versailles, KY 40383-1956 | 2020-08-05 |
| 1356444384 | Bradley John Jacobs | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-09-06 |
| 1104882976 | Bradley S Jacobs | Psychiatry & Neurology | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2006-04-21 |
| Street Address |
2927 LYNDHURST AVE |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366278 | William Michael Lindel | Obstetrics & Gynecology | 2927 Lyndhurst Ave, Winston-salem, NC 27103-4005 | 2005-06-17 |
| 1033100177 | Scott A Washburn | Obstetrics & Gynecology | 2927 Lyndhurst Ave, Winston-salem, NC 27103-4005 | 2005-10-28 |
| 1194715839 | Robert Lamar Parker Jr. | Obstetrics & Gynecology | 2927 Lyndhurst Ave, Winston-salem, NC 27103-4005 | 2005-10-25 |
| 1154310043 | Jacqueline Heder Mims | Obstetrics & Gynecology | 2927 Lyndhurst Ave, Winston-salem, NC 27103-4005 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154387181 | Maplewood Ob-gyn Pllc | Obstetrics & Gynecology | 2830 C Maplewood Ave, Winston-salem, NC 27103 | 2006-04-26 |
| 1841273976 | Karen R Gerancher | Obstetrics & Gynecology | 500 Shepherd St, Winston-salem, NC 27103-1628 | 2005-11-22 |
| 1558366278 | William Michael Lindel | Obstetrics & Gynecology | 2927 Lyndhurst Ave, Winston-salem, NC 27103-4005 | 2005-06-17 |
| 1063456929 | Pamela Alston Oliver | Obstetrics & Gynecology | 114 Charlois Blvd, Winston-salem, NC 27103-1522 | 2006-06-15 |
| 1588606040 | Winston-salem Womancare, P.a. | Obstetrics & Gynecology | 114 Charlois Blvd, Winston-salem, NC 27103-1522 | 2006-06-11 |
| 1760423693 | Melissa Ann Helman | Obstetrics & Gynecology | 114 Charlois Blvd, Winston-salem, NC 27103-1522 | 2006-06-10 |
| 1487693826 | Philip W. Ponder | Obstetrics & Gynecology | 114 Charlois Blvd, Winston-salem, NC 27103-1522 | 2006-06-04 |
| 1033160098 | Linn Haynes Parsons | Obstetrics & Gynecology | 201 Executive Park Blvd, Winston-salem, NC 27103-1503 | 2006-05-15 |
| 1033100177 | Scott A Washburn | Obstetrics & Gynecology | 2927 Lyndhurst Ave, Winston-salem, NC 27103-4005 | 2005-10-28 |
| 1194715839 | Robert Lamar Parker Jr. | Obstetrics & Gynecology | 2927 Lyndhurst Ave, Winston-salem, NC 27103-4005 | 2005-10-25 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on DR. BRADLEY EDGAR JACOBS.
| 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.