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

Jacob Troy Gibby, MD

Individual provider Diagnostic Neuroimaging (Radiology) Physician · NPI 1083174056

Jacob Troy Gibby, MD is a Diagnostic Radiology in Provo, Utah. Qualified in 2019, 7 years ago. Practices with Regional West Medical Center, a 65-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
Specialties on file
3
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

3152 N University Ave Ste 100
Provo, UT 84604-4746
Phone: (801) 229-2002
Show map & directions

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

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 13494110-1205 (UT)
Diagnostic Neuroimaging (Radiology) Physician Taxonomy 2085D0003X · Licence 13494110-1205 (UT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 13494110-1205 (UT)

Record details

NPI number1083174056
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address3152 N University Ave Ste 100, Provo, UT 84604-4746

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Regional West Medical Center — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare