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

Beacon Medical Group, Inc

Organization Nurse Practitioner · NPI 1083665673

Beacon Medical Group, Inc is a Nurse Practitioner in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

926 Erskine Plz
South Bend, IN 46614-3244
Phone: (800) 635-5516
Fax: (574) 647-6514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71000651A (IN)

Record details

NPI number1083665673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Medpoint Express
NPI enumeratedMay 16, 2006
Last updated in NPPESAugust 29, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Other providers in South Bend