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BRADEN CRAGG RILEY D.O.
NPI 1679516769
Family Medicine in Granger, IN

Active since June 14, 2006
12563 STATE ROAD 23, GRANGER, IN 46530(574) 277-2090(574) 277-2175 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2020, Sep 14, 2016 (2 updates tracked since 2016).

About Braden Cragg Riley D.o. NPPES

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

BRADEN CRAGG RILEY D.O. (NPI 1679516769) is an individual family medicine provider in Granger, Indiana, licensed in Indiana (02000713) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1679516769
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRADEN CRAGG RILEYCredential: D.O.
Location Address12563 STATE ROAD 23Granger, IN 46530-9226
Mailing Address707 E Cedar St, Ste 200South Bend, IN 46617-2057 · (574) 335-8700 · Fax (574) 335-0760
Phone(574) 277-2090
Fax(574) 277-2175
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration
✔ NPI 1679516769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02000713
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12563 STATE ROAD 23, Granger, IN 46530
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Other Identifiers 2

Other000000215219IN · Bcbs
Medicaid100092920AIN

Other Providers at the Same Location NPPES 6

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

SARAH ANN KOLACZ NP
Nurse Practitioner
12563 STATE ROAD 23
GRANGER, IN 46530
St. Joseph County (574) 335-8300
DR. TYLER DAVID REAMSNYDER MD
Family Medicine
12563 STATE ROAD 23
GRANGER, IN 46530
St. Joseph County (574) 335-8300
LINDSEY H ANDERSON M.D.
Family Medicine
12563 STATE ROAD 23
GRANGER, IN 46530
St. Joseph County (574) 335-8300
DR. MATTHEW E CHRIST MD
Family Medicine
12563 STATE ROAD 23
GRANGER, IN 46530
St. Joseph County (574) 335-8300
JASON RANSOM M.D.
Family Medicine
12563 STATE ROAD 23
GRANGER, IN 46530
St. Joseph County (574) 335-8300
KELLY E CROWLEY NP
Nurse Practitioner (Family)
12563 STATE ROAD 23
GRANGER, IN 46530
St. Joseph County (574) 335-8300

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 Braden Riley's NPI number?

The NPI number for Braden Riley is 1679516769. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Braden Riley located?

Braden Riley practices at 12563 State Road 23, Granger, IN 46530. The listed phone number is (574) 277-2090.

What is Braden Riley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Braden Riley was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.