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

Beacon Medical Group, Inc

Organization Family Medicine Physician · NPI 1114363835

Beacon Medical Group, Inc is a Family Medicine Physician in Middlebury, Indiana. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
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

206 W Warren St
Middlebury, IN 46540-9410
Phone: (574) 825-2146
Fax: (574) 524-7435
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1114363835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Middlebury; Beacon Medical Group Middlebury
NPI enumeratedMay 21, 2013
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Other providers in Middlebury