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

Individual provider Diagnostic Radiology Physician · NPI 1023429925

Dr. Jeb Thomas List, MD is a Diagnostic Radiology in Muncie, Indiana. Qualified in 2014, 12 years ago. Practices with Beverly Radiology Medical Group III, a 330-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
12
Licensed in
NE
In the registry since
2014
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 Address checks out

2401 W University Ave
Muncie, IN 47303-3428
Phone: (765) 741-1095
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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 29954 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023429925
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020
Mailing address14441 Dupont Ct Ste 304, Omaha, NE 68144-2107

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Beverly Radiology Medical Group Iii — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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