JENNIFER A BRAKE MD
NPI 1093726713
Family Medicine - Sports Medicine in South Bend, IN

Q: What is Jennifer Brake's NPI number?

The NPI number for Jennifer Brake is 1093726713. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Jennifer Brake's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Brake was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2006

111 W JEFFERSON BLVD, STE 100, SOUTH BEND, IN 46601(574) 647-1669(574) 239-6461 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer A Brake Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER A BRAKE MD (NPI 1093726713) is an individual sports medicine provider in South Bend, Indiana, licensed in Indiana (01058572A) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1093726713

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameJENNIFER A BRAKECredential: MD

Location Address111 W JEFFERSON BLVD, STE 100South Bend, IN 46601-1994

Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610

Phone(574) 647-1669

Fax(574) 239-6461

Sole ProprietorNo

Enumeration DateAugust 10, 2006

Last NPPES UpdateMarch 4, 2016

✔ NPI 1093726713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in IN · 01058572A

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 01058572A (IN)

111 W JEFFERSON BLVD, South Bend, IN 46601

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Other Identifiers 7

Medicare UPINI11404

Medicare PIN162520030IN

Other000000914885IN · Bcbs Bmg E. Blair Warner

Other000000914879IN · Bcbs Bmg Sports Medicine

Medicare PIN223420LL

Medicare PIN233530005IN

Medicaid200475200IN

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KARA G WERNER-SANDERS LAT, ATC, CSCS

Specialist/Technologist (Athletic Trainer)

111 W JEFFERSON BLVD, SUITE 100
SOUTH BEND, IN 46601

St. Joseph County (574) 647-1670

DR. KEVIN JEREMY MCAWARD M.D.

Family Medicine (Sports Medicine)

111 W JEFFERSON BLVD, STE. 100
SOUTH BEND, IN 46601

St. Joseph County (574) 647-1669

MRS. FREYA L BURKET A.C.S.W., L.C.S.W.

Social Worker (Clinical)

111 W JEFFERSON BLVD
SOUTH BEND, IN 46601

St. Joseph County (574) 647-2624

BEACON MEDICAL GROUP, INC.

Family Medicine (Sports Medicine)

111 W JEFFERSON BLVD, SUITE 100
SOUTH BEND, IN 46601

St. Joseph County (574) 647-1669

PAUL ADAM ENRIGHT LIC. ACUP.

Acupuncturist

111 W JEFFERSON BLVD, SUITE 100
SOUTH BEND, IN 46601

St. Joseph County (574) 647-2600

KATELYN PATBERG LAT, ATC

Specialist/Technologist (Athletic Trainer)

111 W JEFFERSON BLVD
SOUTH BEND, IN 46601

St. Joseph County (574) 647-1670

ANDREW JOHN FINDLEY

Physical Therapist (Orthopedic)

111 W JEFFERSON BLVD
SOUTH BEND, IN 46601

St. Joseph County (574) 647-2509

JENNIFER ANN DYSZKIEWICZ MS, ATC, LAT

Specialist

111 W JEFFERSON BLVD, SUITE 100
SOUTH BEND, IN 46601

St. Joseph County (574) 289-4764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Brake's NPI number?

The NPI number for Jennifer Brake is 1093726713. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Jennifer Brake located?

Jennifer Brake practices at 111 W Jefferson Blvd Ste 100, South Bend, IN 46601. The listed phone number is (574) 647-1669.

What is Jennifer Brake's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Jennifer Brake was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.