Dr. Richard David Jacobson
Neurologist Child Neurologist
4228 Brookfield Dr
Charlotte
, North Carolina 28210
Dr. Richard David Jacobson
Neurologist Child Neurologist
4228 Brookfield Dr
Charlotte
, North Carolina 28210
(888) 468-6603
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About
Features
Specialties
- Neurologist
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Richard David Jacobson
- 3 Maryland Farms Ste 200
- Brentwood, TN
- Zip : 37027-5005
- Fax : (888) 468-6603
- Phone : (615) 345-5400
Second Address
- Dr. Richard David Jacobson
- 4228 Brookfield Dr
- Charlotte, NC
- Zip : 28210
- Phone : (615) 345-5400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2084N0400X | Neurologist | 31216 | WI |
| N | 2084N0400X | Neurologist | ME127847 | FL |
| Y | 2084N0402X | Child Neurologist | 01389 | NC |
| N | 2084N0402X | Child Neurologist | ME127847 | FL |
National Provider Identifier
| NPI | 1013968858 |
|---|---|
| Provider Name | Dr. Richard David Jacobson |
| First Address | Brentwood, TN 37027-5005 |
| Second Address | Charlotte, NC 28210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2006 |
| Last Update Date | 06/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5915702 | (05) | NC |
| E10063 | (02) | |
| ME127847 | STATE LICENSE (01) | FL |
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.