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

Beacon Medical Group Inc

Organization Family Medicine Physician · NPI 1942781109

Beacon Medical Group Inc is a Family Medicine Physician in Bremen, Indiana. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
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

1144 W Plymouth St
Bremen, IN 46506-1842
Phone: (574) 546-5363
Fax: (574) 546-2575
Show map & directions

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

Additional practice locations (1)

  • 1120 W South St, Bremen, IN 46506-1849 — (574) 301-4066

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Gynecology Physician Taxonomy 207VG0400X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1942781109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3460
Other names Beacon Medical Group Bremen; Beacon Medical Group Bremen; Beacon Medical Group Bremen South Street
NPI enumeratedAugust 27, 2018
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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