Family Medicine
Dr. JACOB BRADDOCK D.O.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1801470984 · enumerated 2021-05-06 · record updated 2026-06-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3245 HEALTH DR STE 100, GRANGER, IN, 46530-1380 (574) 647-6592 Google Maps Apple Maps OpenStreetMap
- Practice location 714 N MICHIGAN ST, SOUTH BEND, IN, 46601-1035 (574) 647-7477 Fax (574) 647-3655 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 02007857A IN
- Family Medicine 207Q00000X · License 05-51049 KS
In this directory
Locations and evidence
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Practice location
SOUTH BEND, IN, 466011035
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.