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

Gary Jacques, MD

Individual provider Internal Medicine Physician · NPI 1407962061

Gary Jacques, MD is an Internal Medicine Physician in Los Alamos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3917 W Rd Ste A
Los Alamos, NM 87544-2292
Phone: (505) 661-8900
Fax: (505) 661-8916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD2018-0710 (NM)

Record details

NPI number1407962061
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address3917 West Rd Ste A, Los Alamos, NM 87544-2292

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