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

Dr. Bonamico Porter Jacobs, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699448597

Dr. Bonamico Porter Jacobs, MD is a Student in an Organized Health Care Education/Training Program in Fort Gordon, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Orthopaedic Surgery Residency Program Ddeamc 300 East Hospital Rd
Fort Gordon, GA 30905-5650
Phone: (706) 787-1647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 94708 (GA)

Record details

NPI number1699448597
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2021
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

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