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

Beacon Medical Group, Inc

Organization Obstetrics & Gynecology Physician · NPI 1578862181

Beacon Medical Group, Inc is an Obstetrics & Gynecology Physician in South Bend, Indiana. Works from 2 locations. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
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 4470
South Bend, IN 46601-1168
Phone: (574) 647-1405
Fax: (574) 647-3970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 621 Memorial Dr Ste 403, South Bend, IN 46601-1074 — (574) 647-1405

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Women's Health Nurse Practitioner Taxonomy 363LW0102X

Record details

NPI number1578862181
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBeacon Health System, Inc
Authorized official Jeffrey Costello — Vp/Cfo · (574) 647-3549
Other names Beacon Medical Group Midwifery Centered Care South Bend; Beacon Medical Group Midwifery Centered Care South Bend
NPI enumeratedMarch 22, 2011
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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