| Jennifer A Brake, MD | |
|
111 W Jefferson Blvd, Ste 100, South Bend, IN 46601-1994 | |
| (574) 647-1669 | |
| (574) 239-6461 |
| Full Name | Jennifer A Brake |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Sports Medicine |
| Location | 111 W Jefferson Blvd, South Bend, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093726713 | NPI | - | NPPES |
| 000000914885 | Other | IN | BCBS BMG E. BLAIR WARNER |
| 000000914879 | Other | IN | BCBS BMG SPORTS MEDICINE |
| 200475200 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 01058572A (Indiana) | Primary |
| 207Q00000X | Family Medicine | 01058572A (Indiana) | Secondary |
| Mailing Address | Practice 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 |
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 |