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Bobby Jacob, M.D. — NPI 1124445275, Raleigh, NC | NPI Central

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NPI 1124445275

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Bobby Jacob, M.D.

NPI 1124445275 · Gastroenterology Physician · Raleigh, NC

Provider details

NPI number: 1124445275
Entity type: Individual
Primary specialty: Gastroenterology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 01085787A (IN)

Specialties & taxonomies

Gastroenterology PhysicianPrimary207RG0100XLicense 2023-00513 (NC)
Allopathic & Osteopathic Physicians
Gastroenterology Physician207RG0100XLicense 01085787A (IN)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

4420 Lake Boone Trl

Raleigh, NC 27607-7505

Phone: (919) 784-5050

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 46845-1701

Additional practice locations (1)

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone: (260) 266-5230
Fax: (260) 266-5238

Registry dates

Enumerated: 2014-03-26
Last updated: 2023-07-31
Certified: 2023-07-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.