Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER A BRAKE, MD
ActiveJENNIFER A BRAKE, MD is a Sports Medicine healthcare provider located in SOUTH BEND, Indiana. NPI 1093726713 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SOUTH BEND, IN
Registration Details
- NPI Number
- 1093726713
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2006 (19.966865558989 yrs)
- Last Updated
- Mar 4, 2016
- Licenses
-
01058572A (IN)01058572A (IN)
Practice Information
- Address
-
111 W JEFFERSON BLVDSTE 100SOUTH BEND, IN, 466011994Browse IN providers · Browse ZIP 46601
- Phone
- 5746471669
- Fax
- 5742396461
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
Other Sports Medicine Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| LINDA A MANSFIELD | MD | 1629075957 |
| DR. KEVIN JEREMY MCAWARD | M.D. | 1356332977 |
| HEATHER SAFFEL | MD | 1700231313 |
| MITCHELL DAUGHERTY | — | 1417481540 |
| DR. CODY LANE WARD | MD | 1316501257 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.