# PRIMARY CARE PARTNERS OF SOUTH BEND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497399927
- **Authorized official:** BRANDON ZABUKOVIC MD (MANAGING MEMBER)
- **Authorized official phone:** (574) 274-9425

## Contact information

- **Practice address:** 300 S SAINT LOUIS BLVD STE 204, SOUTH BEND, IN 46617-3044
- **Practice address phone:** (574) 251-1200
- **Practice address fax:** (574) 251-1230
- **Mailing address:** 300 S SAINT LOUIS BLVD STE 204, SOUTH BEND, IN 46617-3044
- **Mailing address phone:** (574) 251-1200
- **Mailing address fax:** (574) 251-1230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/28/2019
- **Last updated:** 07/10/2020