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

Beacon Medical Group

Organization Urology Physician · NPI 1689627812

Beacon Medical Group is an Urology Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006

Practice location Address checks out

100 Navarre Pl Ste 4400
South Bend, IN 46601-1156
Phone: (574) 647-4535
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 01024987A (IN)

Record details

NPI number1689627812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Memorial Children'S Hospital Navarre Pediatrics
NPI enumeratedMay 18, 2006
Last updated in NPPESMarch 9, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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