Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902210404 Individual Practitioner Male Practitioner

Dr. Bryan John Jacobs , MD

Pediatrics • Miamisburg, OH

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Jacobs, MD is a registered healthcare professional specializing in Pediatrics in Miamisburg, OH. Practice services are available at 3333 W TECH RD STE 220 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3333 W Tech Rd Ste 220

Miamisburg, OH 453420956

Telephone 9378854475
Fax 9378853670
Associated Practice Facility / Clinic
🏢 Cornerstone Pediatrics Llc Facility NPI 1033254222

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Miamisburg, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Miamisburg, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35.151519

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NE 29116

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0121663 (OH)

Secondary Practice Locations

113 Lielmanis Ave

Hurlburt Field, FL 325445613

Phone: 8508815222

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Phone: 9375224784

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1255318192

Doctor of Medicine (M.D.)

Jennifer Kaylor , PA-C

Physician Assistant

NPI 1336927771

Physician Assistant (Certified)

Pamela Wentworth , ARNP

Nurse Practitioner - Primary Care

NPI 1366748188

Advanced Registered Nurse Practitioner

NPI 1598962326

Doctor of Medicine (M.D.)

NPI 1629162458

Doctor of Medicine (M.D.)

NPI 1700580123

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address February 24, 2025

Registered at PO BOX 933432, CLEVELAND, OH 441930039 (Tel: 9376415072)

📍
Updated Practice Location November 11, 2024

Registered at 3333 W TECH RD STE 220, MIAMISBURG, OH 453420956 (Tel: 8508815222)

📍
Updated Business Mailing Address November 11, 2024

Registered at 3333 W TECH RD STE 220, MIAMISBURG, OH 453420956 (Tel: 8508815222)

📍
Updated Practice Location May 31, 2022

Registered at 113 LIELMANIS AVE, HURLBURT FIELD, FL 325445613 (Tel: 8508815222)

📍
Updated Business Mailing Address May 31, 2022

Registered at 113 LIELMANIS AVE, HURLBURT FIELD, FL 325445613 (Tel: 8508815222)

📍
Updated Practice Location March 27, 2018

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9375224784)

📍
Updated Business Mailing Address March 27, 2018

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9375224784)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2018

Pediatrics (License #29116 in NE)

NPI Profile Active June 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2014

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413433)

📍
Updated Business Mailing Address June 12, 2014

Registered at 2801 SHELBURNE LN, BEAVERCREEK, OH 454301810 (Tel: 6147257549)

👤
Provider Name / Credentials Updated June 12, 2014

Recorded as BRYAN JACOBS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 12, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902210404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2014
Last Update: February 24, 2025
Sole Proprietor: No

Mailing Address

Po Box 933432

Cleveland, OH 441930039

Phone: 9376415072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.