IndividualActive
Benjamin Jacobs, MD
NPI 1689137788 · Military Health Care Provider · Virginia Beach, VA
Provider details
- NPI number
- 1689137788
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101270564 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
1875 Cove Rd
Virginia Beach, VA 23459-8911
Phone: (757) 763-2060
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Trident Way
San Diego, CA 92155-5599
Registry dates
- Enumerated
- 2019-04-08
- Last updated
- 2021-09-30
- Certified
- 2021-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.