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

Beacon Medical Group, Inc

Organization Gynecologic Oncology Physician · NPI 1821482431

Beacon Medical Group, Inc is a Gynecologic Oncology Physician in South Bend, Indiana. Registered with an NPI since 2015.

In the registry since
2015
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) 647-4230
Fax: (574) 647-4235
Show map & directions

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

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X

Record details

NPI number1821482431
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBeacon Health System, Inc
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Bmg Women'S Surgical Gyn/Onc @ Mrcc
NPI enumeratedMarch 20, 2015
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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