Doctor profile · Federal record
Dr. Jacob Braddock, D.O.
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · South Bend, IN
- NPI 1801470984
- Accepts Medicare
- 5 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
714 N Michigan St
South Bend, IN 466011035
(574) 647-7477
fax (574) 647-3655 - Additional location
-
112 W Ross Blvd Ste D
Dodge City, KS 678017220
(620) 371-7044
fax (620) 371-7046 - Mailing address
-
3245 Health Dr Ste 100
Granger, IN 465301380
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Profile last updated
- May 19, 2025
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Indiana #02007857A · Kansas #05-51049
- Medicaid
- IN #300091075
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1801470984. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$13
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organon Llc | 1 | $13.48 |
By nature of payment
Frequently asked questions
What is Dr. Jacob Braddock's medical specialty?
Dr. Jacob Braddock practices Family Medicine Physician in South Bend, IN.
Where does Dr. Jacob Braddock practice?
Dr. Jacob Braddock practices at 714 N Michigan St, South Bend, IN 466011035. Office phone: 5746477477.
What is Dr. Jacob Braddock's NPI?
Dr. Jacob Braddock's National Provider Identifier (NPI) is 1801470984, issued by NPPES.
Does Dr. Jacob Braddock accept Medicare assignment?
Yes. Dr. Jacob Braddock accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.