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

Beacon Medical Group, Inc

Organization Family Medicine Physician · NPI 1588024624

Beacon Medical Group, Inc is a Family Medicine Physician in South Bend, Indiana. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
4
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

2235 Cleveland Rd
South Bend, IN 46628-3529
Phone: (574) 647-4530
Fax: (574) 647-2285
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Nephrology Physician Taxonomy 207RN0300X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1588024624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Beacon Medical Group Cleveland Road
NPI enumeratedMarch 2, 2016
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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