BRADLEY JACOBSEN M.D. NPI 1760845184

NPI Information

  • NPI: 1760845184
  • Provider Name: BRADLEY JACOBSEN, M.D.
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7695 CARDINAL CT STE 100
    SAN DIEGO, CA
    ZIP 92123
  • Phone: (858) 609-7100

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NPI Details

Bradley Jacobsen, M.D. is a retina specialist ophthalmology in San Diego, CA with 10 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Bradley Jacobsen, M.D. NPI is 1760845184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

7695 CARDINAL CT STE 100
SAN DIEGO, CA
ZIP 92123-357
Phone: (858) 609-7100

The NPI 1760845184 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.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Imaging of retina (HCPCS:92134)
  • Imaging of retina (HCPCS:92134)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug into eye (HCPCS:67028)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of membrane of retina (HCPCS:67041)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 4/2/2016 and was last updated on 9/12/2025.

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
1207WX0107XOphthalmologyRetina SpecialistA185917CALIFORNIAYes

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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