Dr. Jacob Alexander Braddock, D.O.
Family Medicine
NPI: 1801470984 Indiana
70/100
Good — Trusted
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice9/15
5 years
Data Freshness6/10
Updated 408 days ago
License Status
IllinoisActive
License #
036174923
Issued
May 9, 2025
Expires
Jul 31, 2026
Practice Information
- Address
- 714 N MICHIGAN ST
- SOUTH BEND, IN 46601
- Phone
- (574) 647-7477
- In Practice Since
- May 6, 2021
- Data Last Updated
- May 19, 2025
NPI Details
- NPI Number
- 1801470984
- Status
- Active
- Taxonomy Code
- 207Q00000X
Data sourced from CMS NPPES public database. Last verified: May 19, 2025.
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