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

Dr. Jacob Carlos Earl Grant, MD

Individual provider Diagnostic Radiology Physician · NPI 1639639669

Dr. Jacob Carlos Earl Grant, MD is a Diagnostic Radiology in Saint Louis, Missouri. Graduated from Indiana University School of Medicine in 2019, 7 years ago. Practices with Decatur County Memorial Hospital, a 130-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

510 S Kingshighway Blvd Dept Radiology
Saint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01095875A (IN)

Record details

NPI number1639639669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Decatur County Memorial Hospital — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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