Beacon Medical Group, Inc
Beacon Medical Group, Inc is a Dermatology Physician in Granger, Indiana. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6913 N Main St Ste 100Granger, IN 46530
Phone: (574) 647-6400
Fax: (574) 647-2951
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Endocrinology, Diabetes & Metabolism Physician (primary) | Taxonomy 207RE0101X |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X |
| Family Medicine Physician | Taxonomy 207Q00000X |
Record details
| NPI number | 1306899554 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Costello — Vp-Cfo · (574) 647-3549 |
| Other names | Beacon Medical Group Specialists Main Suite 100 |
| NPI enumerated | May 18, 2006 |
| Last updated in NPPES | December 9, 2019 |
| Certification date | December 9, 2019 |
| Mailing address | 710 N Niles Ave, South Bend, IN 46617-1924 |