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

Jennifer A Brake, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1093726713

Jennifer A Brake, MD is a Sports Medicine (Family Medicine) Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

111 W Jefferson Blvd Ste 100
South Bend, IN 46601-1994
Phone: (574) 647-1669
Fax: (574) 239-6461
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 01058572A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01058572A (IN)

Record details

NPI number1093726713
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESMarch 4, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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