Search › Indiana › 2084S0012X
Brent Jacobus, MD
NPI 1447757406 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7891 Broadway Ste G
Merrillville, IN 46410 - Phone
- (219) 756-8000
- Organisation at this address
- Innovative Company
Premier Dental Group Pc
Indiana Regional P E T And Imaging Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 521 E 86th Ave Ste Z, Merrillville, IN
Registry record
- Primary taxonomy
- 2084S0012X
2084S0012X
- Also registered as
- 2084N0400X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana