Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB ALEXANDER BRADDOCK, D.O.
ActiveDR. JACOB ALEXANDER BRADDOCK, D.O. is a Family Medicine healthcare provider located in SOUTH BEND, Indiana. NPI 1801470984 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SOUTH BEND, IN
Registration Details
- NPI Number
- 1801470984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2021 (5.2601857638995 yrs)
- Last Updated
- May 19, 2025
- Licenses
-
05-51049 (KS)02007857A (IN)
Practice Information
- Address
-
714 N MICHIGAN STSOUTH BEND, IN, 466011035Browse IN providers · Browse ZIP 46601
- Phone
- 5746477477
- Fax
- 5746473655
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. LORI L. CHECKLEY | M.D. | 1437152394 |
| DR. ROBERT DM LEE | M.D. | 1225031925 |
| DALE ALAN PATTERSON | M.D. | 1033115852 |
| DR. MICHELLE ANN MIGLIORE | DO | 1356349815 |
| DR. PATRICIA ANN JORDAN | MD | 1700884897 |
| DR. STEPHEN D KENNEDY | D.O. | 1700885498 |
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.