Jacob Alexander Braddock, D.O.
NPI 1801470984ActiveIndividual· Family Medicine· South Bend, IN
Family Medicine (D.O.) in South Bend, Indiana, trained at Lake Erie College of Osteopathic Medicine, Erie (class of 2021). Enrolled in Medicare as practitioner - family practice and practitioner - family practice. Organon LLC reported $13.48 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1801470984 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | May 6, 2021 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 02007857A | IN |
| Family Medicine | 207Q00000X | 05-51049 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CO); Practitioner - Family Practice (IA); Practitioner - Family Practice (IL); Practitioner - Family Practice (IN); Practitioner - Family Practice (MN) |
|---|
Education and affiliations
| Medical school | Lake Erie College of Osteopathic Medicine, Erie |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Family Practice |
Medical groups
- Beacon Medical Group IncSouth Bend, IN · 589 clinicians
- St Anthony Regional Hospital and Nursing HomeCarroll, IA · 50 clinicians
- Wayne County HospitalHumeston, IA · 47 clinicians
Hospital affiliations
- Memorial Hospital of South BendSouth Bend, IN
- St Anthony Regional Hospital & Nursing HomeCarroll, IA
- Wayne County HospitalCorydon, IA
Industry payments (Open Payments)
- 2024$13.48 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Organon LLC | $13.48 | 1 |
What the 2024 payments were for
- Food and Beverage$13.48 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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