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

Trevor Dean Jacobson, MD

Individual provider Family Medicine Physician · NPI 1366677759

Trevor Dean Jacobson, MD is a Family Practice in Montpelier, Idaho. Graduated from University of Utah School of Medicine in 2009, 17 years ago. Practices with Bear Lake County Memorial Hospital, a 31-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
17
Trained at
University of Utah School of Medicine
Licensed in
ID
In the registry since
2009
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

166 S 5th St
Montpelier, ID 83254-4959
Phone: (208) 847-1110
Fax: (208) 847-0228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-12665 (ID)

Record details

NPI number1366677759
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2009
Last updated in NPPESDecember 11, 2014
Mailing addressPo Box 69, Montpelier, ID 83254-0069

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Bear Lake County Memorial Hospital — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Montpelier