Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADFORD JOEL JACOBS, DPM
ActiveDR. BRADFORD JOEL JACOBS, DPM is a Foot Surgery Podiatrist healthcare provider located in NEWTOWN SQUARE, Pennsylvania. NPI 1356397194 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · NEWTOWN SQUARE, PA
Registration Details
- NPI Number
- 1356397194
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (20.250331649551 yrs)
- Last Updated
- Feb 17, 2020
- Licenses
-
SC002599L (PA)SC002599L (PA)
Practice Information
- Address
-
3319 W CHESTER PIKENEWTOWN SQUARE, PA, 190734226Browse PA providers · Browse ZIP 19073
- Phone
- 6104312971
- Fax
- 6103562015
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Foot Surgery Podiatrist
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.