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

Beacon Medical Group, Inc

Organization Vascular & Interventional Radiology Physician · NPI 1932468352

Beacon Medical Group, Inc is a Vascular & Interventional Radiology Physician in South Bend, Indiana. Registered with an NPI since 2012.

In the registry since
2012
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

621 Memorial Dr Ste 312
South Bend, IN 46601-1073
Phone: (574) 647-5200
Fax: (574) 647-5210
Show map & directions

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

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1932468352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Vascular Interventional Radiology
NPI enumeratedMay 4, 2012
Last updated in NPPESOctober 12, 2017
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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