Radiology, Vascular & Interventional Radiology
GRANT JACOBSEN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1306647581 · enumerated 2025-03-22 · record updated 2026-06-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 500 W FORT ST # 111R, BOISE, ID, 83702-4599 (208) 422-1000 Google Maps Apple Maps OpenStreetMap
- Practice location 500 W FORT ST # 111R, BOISE, ID, 83702-4599 (208) 422-1000 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License 7271468 ID
- Radiology, Vascular & Interventional Radiology 2085R0204X · Primary · License MDRE.ML.70106827 WA
In this directory
ID Ada County Boise Radiology, Vascular & Interventional Radiology
Locations and evidence
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Practice location
BOISE, ID, 837024599
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.