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Jennifer A Brake, MD
Family Medicine Physician in South Bend, Indiana
NPI 1093726713

Jennifer A Brake is a Family Medicine Physician based in South Bend, IN. Jennifer A Brake practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Jennifer A Brake is 1093726713 and holds a License No. 01058572A (Indiana).

The current practice location address for Jennifer A Brake is 111 W Jefferson Blvd, South Bend, IN and can be reached out via phone at 574-647-1669 and via fax at 574-239-6461.

Location: 111 W Jefferson Blvd, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093726713
Provider Name
Jennifer A Brake
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 W Jefferson Blvd, South Bend, IN, 46617-1924
Phone Number
574-647-1669
Fax Number
574-239-6461
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000914885 01 IN BCBS BMG E. BLAIR WARNER
000000914879 01 IN BCBS BMG SPORTS MEDICINE
200475200 05 IN
institution
Provider Business Practice Location Address Details
Address
111 W Jefferson Blvd
City
South Bend
State
Indiana
Zip
46601-1994
Phone Number
574-647-1669
Fax Number
574-239-6461
person
Provider Business Mailing Address Details
Address
111 W Jefferson Blvd
City
South Bend
State
Indiana
Zip
46601-1994
Phone Number
574-647-1669
Fax Number
574-239-6461
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01058572A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Sports Medicine
Taxonomy
207QS0010X
License No.
01058572A (Indiana)
Definition
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, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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institution
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Family Medicine Physician
111 W Jefferson Blvd,
SOUTH BEND, IN
46601-1994
574-647-1669
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