Jacob Gibby, MD
Jacob Gibby, MD is a Neuroradiology Physician in Provo, UT, registered under NPI 1083174056. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3152 N UNIVERSITY AVE STE 100, Provo, UT 84604. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 13494110-1205 | UT | Neuroradiology Physician primary |
| 13494110-1205 | UT | Diagnostic Neuroimaging (Radiology)… |
| 13494110-1205 | UT | Diagnostic Radiology Physician |
This provider holds licence 13494110-1205 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Diagnostic Radiology
- PAC ID
- 3870016843
Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neuroradiology covers
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. NUCC Health Care Provider Taxonomy, code 2085N0700X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085N0700X | Neuroradiology Physician Neuroradiology | 13494110-1205 | UT | primary |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician Diagnostic Neuroimaging | 13494110-1205 | UT | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 13494110-1205 | UT |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1083174056 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 25, 2019 |
| Last updated | Jul 24, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
3152 N UNIVERSITY AVE STE 100 Provo, UT 84604 (801) 229-2002 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 8 | 3 | 1 | 7 | 4 | 0 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 7 | 3 | 2 | 7 | 8 | 0 | 1 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.