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

Beacon Medical Group Inc

Organization Rheumatology Physician · NPI 1205887817

Beacon Medical Group Inc is a Rheumatology Physician 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

707 N Michigan St Ste 102
South Bend, IN 46601-1067
Phone: (574) 647-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 01061323A (IN)

Record details

NPI number1205887817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Michiana Arthritis & Osteoporosis Center
NPI enumeratedMay 16, 2006
Last updated in NPPESMay 13, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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