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

Beacon Medical Group, Inc

Organization Family Medicine Physician · NPI 1003042318

Beacon Medical Group, Inc is a Family Medicine Physician in Granger, Indiana. Licensed in Indiana. Registered with an NPI since 2009.

Licensed in
IN
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12340 Bittersweet Commons Blvd W
Granger, IN 46530-6959
Phone: (574) 271-8610
Fax: (574) 271-8620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IN)

Record details

NPI number1003042318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Bittersweet Commons; Beacon Medical Group Bittersweet Commons
NPI enumeratedJune 2, 2009
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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