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

Beacon Medical Group, Inc

Organization Nephrology Physician · NPI 1124423546

Beacon Medical Group, Inc is a Nephrology Physician in South Bend, Indiana. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014
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

100 Navarre Pl Ste 4400
South Bend, IN 46601-1100
Phone: (574) 647-1972
Fax: (574) 647-1974
Show map & directions

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

Additional practice locations (1)

  • 100 Navarre Pl Ste 4405, South Bend, IN 46601-1176 — (574) 647-1972

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1124423546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
NPI enumeratedOctober 28, 2014
Last updated in NPPESOctober 12, 2017
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Other providers in South Bend