Jennifer A Brake, MD - Family Medicine in South Bend, IN

Jennifer A Brake, MD is a Family Medicine - Sports Medicine physician based in South Bend, Indiana. Jennifer A Brake is licensed to practice in Indiana (license number 01058572A) and her current practice location is 111 W Jefferson Blvd, Ste 100, South Bend, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 647-1669.

NPI number for Jennifer A Brake is 1093726713 and her current mailing address is 710 N Niles Ave, South Bend, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093726713.

Contact Information

Jennifer A Brake, MD
111 W Jefferson Blvd, Ste 100,
South Bend, IN 46601-1994
(574) 647-1669
(574) 239-6461



Physician's Profile

Full NameJennifer A Brake
GenderFemale
SpecialityFamily Medicine - Sports Medicine
Location111 W Jefferson Blvd, South Bend, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093726713
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 03/04/2016

Medical Identifiers

Medical identifiers for Jennifer A Brake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093726713NPI-NPPES
000000914885OtherINBCBS BMG E. BLAIR WARNER
000000914879OtherINBCBS BMG SPORTS MEDICINE
200475200MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 01058572A (Indiana)Primary
207Q00000XFamily Medicine 01058572A (Indiana)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer A Brake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer A Brake, MD
710 N Niles Ave,
South Bend, IN 46617-1924

Ph: (574) 647-1610
Jennifer A Brake, MD
111 W Jefferson Blvd, Ste 100,
South Bend, IN 46601-1994

Ph: (574) 647-1669

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› Verified 9 days ago


Family Medicine Doctors in South Bend, IN

Dr. Jon Andrew Shull, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1708 High St, South Bend, IN 46613
Phone: 574-647-1400    Fax: 574-237-6663
Louis Cavadini, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-237-9395    Fax: 574-204-6345
Dale Alan Patterson, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 714 N Michigan St, South Bend, IN 46601
Phone: 574-647-7477    
Dr. Nicholas Harold Kerr, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601
Phone: 574-647-3050    Fax: 574-647-1094
Dr. Curtis L Gongwer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4440 North Portage Avenue, South Bend, IN 46628
Phone: 574-204-6200    Fax: 574-288-1426
Robert Hays, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17321 State Road 23, South Bend, IN 46635
Phone: 574-335-8400    Fax: 574-335-0796
Matthew T. Dupre, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 714 N Michigan St, South Bend, IN 46601
Phone: 574-647-7477    Fax: 574-647-3655

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