Jacob Braddock, D.O.
NPI 1801470984 · Family Medicine Physician · South Bend, IN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Braddock, D.O. is a Family Medicine Physician provider in South Bend, IN (NPI 1801470984).
Provider details
- NPI number
- 1801470984
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 05-51049 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
5 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 112 W Ross Blvd Ste DDodge City, KS 67801-7220Phone: (620) 371-7044Fax: (620) 371-7046
Registry dates
- Enumerated
- 2021-05-06
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Jacob Braddock's NPI number?
- Jacob Braddock's National Provider Identifier (NPI) is 1801470984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Braddock's specialty?
- Jacob Braddock is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jacob Braddock located?
- Jacob Braddock's practice location on file with NPPES is 714 N Michigan St, South Bend, IN 46601-1035.
- What is Jacob Braddock's phone number?
- The practice phone number listed in the NPPES registry for Jacob Braddock is (574) 647-7477.
- Does Jacob Braddock accept Medicare?
- Jacob Braddock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Braddock's NPI active?
- Yes — Jacob Braddock's NPI (1801470984) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.