Jennifer Brake, MD
Sports Medicine (Family Medicine) Physician · South Bend, IN
Jennifer Brake, MD is a sports medicine (family medicine) physician with a practice address in South Bend, Indiana, and NPI 1093726713, issued on Aug 10, 2006. Check the license (Indiana 01058572A, as entered in NPPES) on the Medical Licensing Board of Indiana; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jennifer Brake
- Credential
- MD
- Primary taxonomy
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License number
- 01058572A IN
Self-reported in NPPES; status is on the state search - Practice location
- 111 W Jefferson Blvd, South Bend, IN 46601
- Phone
- (574) 647-1669
- Enumerated
- Aug 10, 2006
- Entity
- Type 1 · individual
Also registered at 111 W Jefferson Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Freya Burket, A.C.S.W., L.C.S.W.Clinical Social Worker1528277951
- Jennifer Dyszkiewicz, MS, ATC, LATAthletic Trainer1952455537
- Paul Enright, LIC. ACUP.Acupuncturist1578722450
- Andrew FindleyOrthopedic Physical Therapist1912521378
- Kevin McAward, M.D.Family Medicine Physician1356332977
- Katelyn Patberg, LAT, ATCAthletic Trainer1730677295
Verify Jennifer Brake in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01058572ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Sports Medicine (Family Medicine) Physician providers in Indiana
There are 48 sports medicine (family medicine) physician records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other sports medicine (family medicine) physician records in Indiana
- Thurman Alvey, D.O.Greenwood, IN1942231444
- Amean Amra, DOTerre Haute, IN1134784721
- Todd Arnold, MDWestfield, IN1104870989
- Blake Averill, MDGreenwood, IN1750819165
- Robert Barber, MDIndianapolis, IN1508886474
- David Barr, M.D.New Castle, IN1437239969
- Philip Blaney, M.D.Greenwood, IN1063850576
- Mark Booher, M.D.Avon, IN1447245527
- Kile Carter, MDFishers, IN1245467281
- Timothy Crull, MDMuncie, IN1427799980
Common questions
What is Jennifer Brake, MD's NPI number?
Jennifer Brake, MD's National Provider Identifier (NPI) is 1093726713, issued on Aug 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jennifer Brake, MD located?
The NPPES record lists a practice address at 111 W Jefferson Blvd, South Bend, IN, 46601. Phone: (574) 647-1669. Providers update this record themselves, so call before visiting.
How can I verify Jennifer Brake, MD's license?
NPPES lists Indiana license number 01058572A, 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. 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.