DR. GARY R JACOBS M.D. NPI 1407853732

NPI Information

  • NPI: 1407853732
  • Provider Name: DR. GARY R JACOBS, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 703 E MARSHALL AVE
    #4008
    LONGVIEW, TX
    ZIP 75601
  • Phone: (903) 753-2276

Map and Directions

Get Directions

NPI Details

DR. Gary R Jacobs, M.D. is a plastic and reconstructive surgery surgery in Longview, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Gary R Jacobs, M.D. NPI is 1407853732. 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:

703 E MARSHALL AVE
#4008
LONGVIEW, TX
ZIP 75601-500
Phone: (903) 753-2276
Fax: (903) 753-7420

The enumeration date for this NPI number is 7/1/2005 and was last updated on 7/18/2016.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryE4427TEXASYes

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
1C17373MEDICARE UPIN
286Y711MEDICARE ID-TYPE UNSPECIFIEDTEXAS
3110309502MEDICAIDTEXAS

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.