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

Dr. Ethan Wren, DO

Individual provider Orthopaedic Surgery Physician · NPI 1124487301

Dr. Ethan Wren, DO is an Orthopedic Surgery in South Bend, Indiana. Graduated from Michigan State University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
IN
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

100 Navarre Pl Ste 4440
South Bend, IN 46601-1171
Phone: (574) 647-5300
Fax: (574) 647-5305
Show map & directions

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

Additional practice locations (2)

  • 1020 High Rd, Bremen, IN 46506-1093 — (574) 309-9967
  • 1815 E Ireland Rd, South Bend, IN 46614-2845 — (574) 647-1700

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 02006816A (IN)

Record details

NPI number1124487301
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 17, 2016
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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