Jennifer A Brake MD

  • NPI 1093726713
According to our database, the NPI number for Jennifer A Brake MD is 1093726713 and activated since 17 years ago. Jennifer A Brake MD is an individual provider who specializes in Family Medicine, and the primary practice location is 111 W Jefferson Blvd, South Bend, IN 46601. You can also contact Jennifer A Brake MD via telephone number is (574) 647-1669. Provider NPI information was last updated on 03/04/2016.

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Overview of Jennifer A Brake MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/10/2006
  • Last updated: 03/04/2016

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 01058572A
  • License State: IN

Provider Mailing Address

  • Address: 710 N Niles Ave
    South Bend, IN 46617
  • Phone: 574-647-1610
  • Fax:

Provider Practice Location

  • Address: 111 W Jefferson Blvd
    Ste 100
    South Bend, IN 46601
  • Phone: 574-647-1669
  • Fax: 574-239-6461

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 01058572A
  • License State: IN
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 000000914879
  • Identifier Type: Other
  • Identifier State: IN
  • Issuer: BCBS BMG SPORTS MEDICINE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jennifer A Brake MD?
  • A: The npi number for Jennifer A Brake MD is 1093726713.
  • Q: What are Jennifer A Brake MD's specialties?
  • A: Jennifer A Brake MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Jennifer A Brake MD?
  • A: The medical license number for Jennifer A Brake MD is 01058572A and issued in IN in USA.
  • Q: Where is Jennifer A Brake MD practice location?
  • A: Jennifer A Brake MD is practicing at 111 W Jefferson Blvd, South Bend, IN 46601.
  • Q: How to contact Jennifer A Brake MD?
  • A: You can contact Jennifer A Brake MD via 574-647-1669.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
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Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.