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 1275587149

Beacon Medical Group, Inc is a Family Medicine Physician in South Bend, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

813 S Michigan St
South Bend, IN 46601
Phone: (574) 647-2400
Fax: (574) 647-4201
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 — (574) 647-2500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01022886A (IN)

Record details

NPI number1275587149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
NPI enumeratedMay 22, 2006
Last updated in NPPESJuly 3, 2018
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Other providers in South Bend