National Provider Identifier
Brandon Michael Jacobs, MD
Brandon Michael Jacobs, MD is listed in the NPPES registry with a primary specialty of Military Health Care Provider in Buffalo, NY and a listed phone number of (929) 712-7183.
Profile Overview
- NPI
- 1700670320
- Provider Type
- Individual
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- April 08, 2025
- Last Updated
- January 30, 2026
Practice Location
- 345 Broadway St # 102
- Buffalo, NY 14204-1541
Phone: (929) 712-7183
Mailing Address
- 1317 Portage RD
- Niagara Falls, NY 14301-1154
Specialties
- Military Health Care Provider (171000000X)
Full Record
- NPI
- 1700670320
- Entity Type
- Individual
- Last Name
- Jacobs
- First Name
- Brandon
- Middle Name
- Michael
- Credential
- MD
- Mailing Street Address
- 1317 Portage RD
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14301-1154
- Mailing Country
- US
- Mailing Phone
- (929) 712-7183
- Practice Street Address
- 345 Broadway St # 102
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14204-1541
- Practice Country
- US
- Practice Phone
- (929) 712-7183
- Enumeration Date
- April 08, 2025
- Last Updated
- January 30, 2026
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- January 30, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Military Health Care Provider (171000000X)
- Other Identifiers
- 0230548361 (NC, Aarp Medicare Rx Preferred Uhc Rrb Part D)