Jacob Braddock, D.O.
Family Medicine Physician · South Bend, IN
Jacob 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 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
- Entity
- Type 1 · individual
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 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, mostly food and beverage; the largest payer was Organon Llc. The 53,013 providers of this specialty with any payment received $861.30 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 hospital and facility affiliations
- 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 affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
141 family medicine physician records list a South Bend practice address
They are 141 of the 3,178 NPPES records with a South Bend practice address, and 3,367 family medicine physician records in Indiana.
All 141 in South Bend → All 3,367 in Indiana → Every provider in South Bend →
Other family medicine physician records in Indiana
- Faryaal Aamir, MDBoonville, IN1649581778
- Melody Abadpour, MDLafayette, IN1043136419
- Troy Abbott, MDMuncie, IN1689693889
- Musa Abdalla, M. D.Lagrange, IN1548552375
- Azra Abdullah, M.D.Indianapolis, IN1063468916
- Daniel Abel, M.D.Mishawaka, IN1508177619
- Aris Rodel Abeleda, MDIndianapolis, IN1912185547
- Rashmi Abhyankar, M.D.Terre Haute, IN1437263555
- Walter Able, M.D.Columbus, IN1588704050
- Roy Abraham, MDPortland, IN1912214560
Common questions
What is Jacob Braddock, D.O.'s NPI number?
Jacob 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 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 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), loaded Aug 27, 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.