Jacob Alexander Braddock, D.O.
Family Medicine Physician · South Bend, IN
Jacob Alexander Braddock, D.O. is a family medicine physician with a practice address in South Bend, Indiana, and NPI 1801470984, issued on May 6, 2021. Check the license (Indiana 02007857A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Jacob Alexander Braddock
- Credential
- D.O.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- 02007857A IN
05-51049 KS
Self-reported in NPPES; status is on the state search - Practice location
- 714 N Michigan St, South Bend, IN 46601
- Phone
- (574) 647-7477
- Enumerated
- May 6, 2021
- Record last updated
- Jun 30, 2026
- Fax
- (574) 647-3655
- Medicaid ID
- 300091075 IN
- Medicare enrollment
- Enrolled (PECOS I20250529000591); accepts Medicare assignment
- Medical or professional school
- Lake Erie College Of Osteopathic Medicine, Erie, 2021
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 3,506 in Indiana → Look up another NPI →
Also registered at 714 N Michigan St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Daniel Armounfelder, MD, MPHFamily Medicine Physician1538850060
- Jaymie Baker, MDFamily Medicine Physician1770743684
- Tucker Balam, DOFamily Medicine Physician1861652463
- Victoria Bawel, MDStudent in an Organized Health Care Education/Training Program1063260107
- Kristyn Beaver, NPFamily Nurse Practitioner1861150955
- Brandon Bedsole, MDStudent in an Organized Health Care Education/Training Program1366171175
Verify Jacob Alexander Braddock in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 02007857ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $13.48
1 payment: food and beverage; the largest payer was Organon Llc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
4 hospitals and group practices
- Beacon Medical Group IncSouth Bend, IN
- Commonspirit Kansas IncDodge City, KS
- St Anthony Regional Hospital And Nursing HomeCarroll, IA
- Wayne County HospitalCorydon, IA · Critical Access Hospitals
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).
Jacob Alexander Braddock among 3,506 family medicine physician records in Indiana
Jacob Alexander Braddock, D.O. is one of 3,506 family medicine physician records with a practice address in Indiana. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 92% of them.
- NPI issued2021 · 92% of these records are older, 6% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2021 · median 2005 among the 2,196 with a school on file
- Record last updated2026 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
145 family medicine physician records list a practice address in South Bend
They are 145 of the 3,178 NPPES records with a practice address in South Bend, and 3,506 family medicine physician records in Indiana.
All 3,506 in Indiana → Every provider in South Bend → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- David Clayton, M.D.South Bend, IN 466011912988460
- Anton Crepinsek, MDSouth Bend, IN 466011326038902
- Kenneth Elek, M.D.South Bend, IN 466011912995267
- Charles Hagenow, M.D.South Bend, IN 466011568450732
- Alberta Henderson, M.D.South Bend, IN 466011477541654
- Jason Marker, M.D.South Bend, IN 466011215936968
- Paul Misch, MDSouth Bend, IN 466011942277876
- Dale Patterson, M.D.South Bend, IN 466011033115852
Common questions
What is Jacob Alexander Braddock, D.O.'s NPI number?
Jacob Alexander Braddock, D.O.'s National Provider Identifier (NPI) is 1801470984, issued on May 6, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Alexander Braddock, D.O. located?
The NPPES record lists a practice address at 714 N Michigan St, South Bend, IN, 46601. Phone: (574) 647-7477. Providers update this record themselves, so call before visiting.
How can I verify Jacob Alexander Braddock, D.O.'s license?
NPPES lists Indiana license number 02007857A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.