Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ANDERSON, DO
Active Sole ProprietorJACOB ANDERSON, DO is a Family Medicine healthcare provider located in SCOTTSBLUFF, Nebraska. NPI 1023507035 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SCOTTSBLUFF, NE
Registration Details
- NPI Number
- 1023507035
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2018 (8.2434881035996 yrs)
- Last Updated
- Oct 3, 2025
- Licenses
-
3013 (NE)DR.0063543 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3911 AVENUE BSCOTTSBLUFF, NE, 693614617Browse NE providers · Browse ZIP 69361
- Phone
- 3086302100
- Fax
- 3086301349
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SCOTTSBLUFF, NE
| Name | Credential | NPI |
|---|---|---|
| DONALD MAX GENTRY | MD | 1275529596 |
| DR. MICHELLE CHELOHA | M.D. | 1083637409 |
| DR. LODEWYK R. PAPENFUS | M.D. | 1841205424 |
| DR. TARA ANN LONGORIA | M.D. | 1245246180 |
| DR. KENT LACEY | M.D. | 1043226517 |
| DR. PATRICK JOSEPH BROWN | MD | 1023025533 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.