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

Beacon Medical Group, Inc

Organization Orthopaedic Surgery Physician · NPI 1831149525

Beacon Medical Group, Inc is an Orthopaedic Surgery Physician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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 5500
South Bend, IN 46601-1172
Phone: (574) 647-5300
Fax: (574) 647-5305
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 01055773A (IN)

Record details

NPI number1831149525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
NPI enumeratedMay 11, 2006
Last updated in NPPESOctober 12, 2017
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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