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

Beacon Medical Group, Inc

Organization Genetic Counselor (M.S.) · NPI 1710939608

Beacon Medical Group, Inc is a Genetic Counselor (M.S.) in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
5
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 4410
South Bend, IN 46601-1171
Phone: (574) 647-6370
Fax: (574) 647-6373
Show map & directions

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

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 01053966A (IN)
Genetic Counselor (M.S.) Taxonomy 170300000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Surgical Critical Care Physician Taxonomy 2086S0102X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1710939608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Beacon Medical Group Maternal Fetal Medicine South Bend
NPI enumeratedMay 17, 2006
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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