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

Gregg M Ebersole, MD

Individual provider Orthopaedic Surgery Physician · NPI 1093000366

Gregg M Ebersole, MD is an Orthopedic Surgery in South Bend, Indiana. Qualified in 2011, 15 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
15
Licensed in
IN
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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

Additional practice locations (4)

  • 3221 Beacon Pkwy, Granger, IN 46530-7196 — (574) 647-1670
  • 900 I St, La Porte, IN 46350-5533 — (219) 324-1700
  • 1815 E Ireland Rd, South Bend, IN 46614-2845 — (574) 647-1700
  • 2235 Cleveland Rd, South Bend, IN 46628-3529 — (574) 647-4530

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 01079875A (IN)

Record details

NPI number1093000366
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2011
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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