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

Beacon Medical Group, Inc

Organization Cardiovascular Disease Physician · NPI 1780859157

Beacon Medical Group, Inc is a Cardiovascular Disease Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
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

610 N Michigan St Ste 400
South Bend, IN 46601-1081
Phone: (574) 647-8120
Fax: (574) 647-8111
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 01045628A (IN)

Record details

NPI number1780859157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp/Cfo · (574) 647-3549
Other names Beacon Medical Group Advanced Cardiology Specialists South Bend; Beacon Medical Group Advanced Cardiology Specialists South Bend
NPI enumeratedApril 28, 2008
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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