DR. JACOB BRADDOCK, D.O.
Family Medicine
Active
Individual
NPI: 1801470984
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 02007857A (IN) |
Frequently Asked Questions
NPI 1801470984 is the National Provider Identifier for DR. JACOB BRADDOCK, D.O., a Family Medicine provider located in South Bend, IN. This NPI was enumerated on May 6, 2021.
DR. JACOB BRADDOCK, D.O. practices at 714 N MICHIGAN ST, South Bend, IN 46601.
Quick Facts
- NPI
- 1801470984
- Type
- Individual
- Enumerated
- May 6, 2021
- Last Updated
- May 19, 2025
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