Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB TROY GIBBY, MD
ActiveJACOB TROY GIBBY, MD is a Neuroradiology healthcare provider located in PROVO, Utah. NPI 1083174056 is currently active in the NPPES registry. Verify at CMS.
Neuroradiology · PROVO, UT
Registration Details
- NPI Number
- 1083174056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2019 (7.4084631200832 yrs)
- Last Updated
- Jul 24, 2025
- Licenses
-
13494110-1205 (UT)13494110-1205 (UT)13494110-1205 (UT)
Practice Information
- Address
-
3152 N UNIVERSITY AVE STE 100PROVO, UT, 846044746Browse UT providers · Browse ZIP 84604
- Phone
- 8012292002
- Primary Specialty
-
Neuroradiology
2085N0700X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Neuroradiology
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.