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NPISignal

Individual Healthcare Provider

Jacob Troy Gibby, MD

NPI Record: ActiveRadiology — Neuroradiology
NPI1083174056
Provo, Utah

Provider's NPPES record last updated: July 24, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1083174056
Primary Specialty
Radiology — Neuroradiology
Practice Location
Provo, Utah
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 9:31 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Neuroradiology

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 2085N0700X
  • Radiology

    Diagnostic Neuroimaging

    Allopathic & Osteopathic Physicians

    A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.

    Taxonomy code 2085D0003X
  • Radiology

    Diagnostic Radiology

    Allopathic & Osteopathic Physicians

    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

    Taxonomy code 2085R0202X

Provider-Reported License Information

Radiology (Utah)
13494110-1205
Radiology (Utah)
13494110-1205
Radiology (Utah)
13494110-1205
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3152 N University Ave Ste 100

Provo, Utah 84604-4746

Phone: (801) 229-2002

Record Information

Enumeration Date
March 25, 2019
Provider's NPPES Record Last Updated
July 24, 2025
Certification Date
July 24, 2025
NPISignal NPPES Dataset
August 2026

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