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

Jacob Iceberg, DO

Individual provider Family Medicine Physician · NPI 1043836612

Jacob Iceberg, DO is a Family Practice in Grand Rapids, Michigan. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2020, 6 years ago. Practices with Catherine's Health Center, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
MI
In the registry since
2020
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.

See every abbreviation used in this directory →

Practice location Address checks out

280 60th St SE # 200
Grand Rapids, MI 49548-8504
Phone: (616) 483-0750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Lafayette Ave Se Ste 4000, Grand Rapids, MI 49503-4692 — (616) 685-6922

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101026922 (MI)

Record details

NPI number1043836612
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 19, 2020
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2020 (6 years in practice)
Group practice Catherine'S Health Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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