Individual provider · Type 1 NPI

Jennifer A. Brake, MD

Sports Medicine (Family Medicine) Physician · South Bend, IN

NPI number 1093726713 Active

Practice location

111 W Jefferson Blvd, Ste 100
South Bend, IN 46601-1994

Call (574) 647-1669 Map

Fax (574) 239-6461

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	01058572A (IN)
Family Medicine Physician	207Q00000X	01058572A (IN)

Sports Medicine (Family Medicine) Physician: 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, biomecha…

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About NPI 1093726713

Jennifer A. Brake, MD's National Provider Identifier is 1093726713, issued on Aug 10, 2006. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in South Bend, IN. The record was last updated on Mar 4, 2016.