NPI 1083174056

Jacob Troy Gibby, MD

Practitioner Neuroradiology Physician Provo, UT

Practice location

Address: 3152 N University Ave STE 100, Provo, UT 84604-4746
Phone: (801) 229-2002

Registered specialties (3)

Neuroradiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085N0700X Licence 13494110-1205 (UT)

Other Radiology providers in Utah →

Diagnostic Neuroimaging (Radiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 2085D0003X Licence 13494110-1205 (UT)

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 13494110-1205 (UT)

Registry record

NPI: 1083174056
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2019
Record last updated: 24 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.