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

Beacon Medical Group, Inc

Organization Neurological Surgery Physician · NPI 1861421141

Beacon Medical Group, Inc is a Neurological Surgery Physician in South Bend, Indiana. Works from 5 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
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 6600
South Bend, IN 46601-1173
Phone: (574) 647-8800
Fax: (574) 647-8811
Show map & directions

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

Additional practice locations (4)

  • 500 Arcade Ave Ste 200, Elkhart, IN 46514-2485 — (574) 294-8404
  • 6913 N Main St Ste 100, Granger, IN 46530-8039 — (574) 647-8542
  • 5314 Lincolnway E, Mishawaka, IN 46544-4249 — (574) 647-8542
  • 100 Navarre Pl Ste 4400, South Bend, IN 46601-1100 — (574) 647-2501

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Neurology Physician Taxonomy 2084N0400X
Clinical Neurophysiology Physician Taxonomy 2084N0600X
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1861421141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp/Cfo · (574) 647-3549
Other names Beacon Medical Group Neurology; Beacon Medical Group North Central Neurosurgery Elkhart; Beacon Medical Group North Central Neurosurgery South Bend; Beacon Medical Group Specialists Navarre
NPI enumeratedJune 30, 2006
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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