DR. RICHARD DAVID JACOBSON MD PHD NPI 1013968858

NPI Information

  • NPI: 1013968858
  • Provider Name: DR. RICHARD DAVID JACOBSON, MD, PHD
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4228 BROOKFIELD DR
    CHARLOTTE, NC
    ZIP 28210
  • Phone: (615) 345-5400

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NPI Details

DR. Richard David Jacobson, MD, PHD is a neurology with special qualifications in child neurology psychiatry neurology in Charlotte, NC. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Richard David Jacobson, MD, PHD NPI is 1013968858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4228 BROOKFIELD DR
CHARLOTTE, NC
ZIP 28210
Phone: (615) 345-5400

The NPI 1013968858 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) (HCPCS:G0453)
  • Placement of skin electrodes and measurement of stimulated sites on arms and legs (HCPCS:95938)
  • Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study (HCPCS:95870)
  • Placement of skin electrodes and measurement of central motor stimulation in arms and legs (HCPCS:95939)
  • Needle measurement of electrical activity in arm or leg muscles, 2 extremities (HCPCS:95861)
  • Measurement of brain wave activity (eeg) outside the brain during surgery (HCPCS:95955)
  • Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51785)
  • Needle measurement of electrical activity in voice box muscles (HCPCS:95865)

The enumeration date for this NPI number is 5/15/2006 and was last updated on 10/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyME127847FLORIDANo
22084N0400XPsychiatry & NeurologyNeurology31216WISCONSINNo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyME127847FLORIDANo
42084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology01389NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ME127847OTHERFLORIDASTATE LICENSE
25915702MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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