Beacon Medical Group, Inc
Beacon Medical Group, Inc is a Sports Medicine (Family Medicine) 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.
Practice location Address checks out
111 W Jefferson Blvd Ste 100South Bend, IN 46601-1994
Phone: (574) 647-1669
Fax: (574) 239-6461
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
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence 01049328A (IN) |
|---|
Record details
| NPI number | 1578515151 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Costello — Vp-Cfo · (574) 647-3549 |
| Other names | Beacon Medical Group Sports Medicine South Bend |
| NPI enumerated | May 16, 2006 |
| Last updated in NPPES | August 30, 2016 |
| Mailing address | 710 N Niles Ave, South Bend, IN 46617-1924 |
Other providers in South Bend
-
Jennifer A Brake, MD
111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1994 · (574) 647-1669
-
Heather Saffel, MD
111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 · (574) 647-1670