Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent A Jacobus, DO

Individual provider Family Medicine Physician · NPI 1902807589

Brent A Jacobus, DO is a Family Practice in Crown Point, Indiana. Qualified in 1987, 39 years ago. Practices with Nwi Mdvip LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
39
Licensed in
IN
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9150 E 109th Ave Ste 2A Crown Point
Crown Point, IN 46307-7686
Phone: (219) 226-1529
Fax: (219) 226-2994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02001090 (IN)

Record details

NPI number1902807589
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESNovember 1, 2011
Mailing address9150 E 109th Ave Ste 2a, Crown Point, Crown Point, IN 46307-7686

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Nwi Mdvip Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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