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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEACON MEDICAL GROUP INC

Active Organization

BEACON MEDICAL GROUP INC is a Obstetrics & Gynecology organization located in SOUTH BEND, Indiana. NPI 1124071246 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · SOUTH BEND, IN

Registration Details

NPI Number
1124071246
Provider Type
Organization
NPI Issued
May 18, 2006 (20.230618001843 yrs)
Last Updated
Aug 30, 2016
License
01027434A (IN)

Practice Information

Address
100 NAVARRE PL
SUITE 4470
SOUTH BEND, IN, 466011156
Browse IN providers · Browse ZIP 46601
Phone
5746474230
Primary Specialty
Obstetrics & Gynecology
207V00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.