Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physician Management Services of Indiana II, LLC

Organization Family Medicine Physician · NPI 1053993014

Physician Management Services of Indiana II, LLC is a Family Medicine Physician in South Bend, Indiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 S Saint Louis Blvd Ste 204
South Bend, IN 46617-3044
Phone: (888) 829-8550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053993014
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVaxcare Corporation
Authorized official Brett Kenefick — President · (888) 829-8550
NPI enumeratedApril 28, 2021
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address3113 Lawton Rd Ste 250, Orlando, FL 32803-3517

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