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Individual
BRANDON MICHAEL JACOBS
Active
Individual
BRANDON MICHAEL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
171000000
AS
171000000X
Military Health Care Provider
Primary
171000000
—
171000000X
Military Health Care Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230548361
AARP MEDICARE RX PREFERRED UHC RRB PART D
NC
Enumeration date
04/08/2025
Last updated
08/11/2026
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