Dr. Bradford Joel Jacobs
Podiatrist Foot Surgery
3319 W Chester Pike
Newtown Square
, Pennsylvania 19073-4226
Dr. Bradford Joel Jacobs
Podiatrist Foot Surgery
3319 W Chester Pike
Newtown Square
, Pennsylvania 19073-4226
(610) 356-2015
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About
Features
Specialties
- Podiatrist
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Bradford Joel Jacobs
- 3319 W Chester Pike
- Newtown Square, PA
- Zip : 19073-4226
- Fax : (610) 356-2015
- Phone : (610) 431-2971
Second Address
- Dr. Bradford Joel Jacobs
- 3319 W Chester Pike
- Newtown Square, PA
- Zip : 19073-4226
- Fax : (610) 356-2015
- Phone : (610) 431-2971
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC002599L | PA |
| N | 222Z00000X | Podiatrist | SC002599L | PA |
| Y | 213ES0131X | Foot Surgery | SC002599L | PA |
National Provider Identifier
| NPI | 1356397194 |
|---|---|
| Provider Name | Dr. Bradford Joel Jacobs |
| First Address | Newtown Square, PA 19073-4226 |
| Second Address | Newtown Square, PA 19073-4226 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 17/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0909856 | (05) | PA |
| T28499 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.