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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 Family Medicine organization located in SOUTH BEND, Indiana. NPI 1124079330 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SOUTH BEND, IN

Registration Details

NPI Number
1124079330
Provider Type
Organization
NPI Issued
May 12, 2006 (20.072722027497 yrs)
Last Updated
Sep 30, 2024
License
01043622A (IN)

Practice Information

Address
1815 E IRELAND RD
SOUTH BEND, IN, 466142845
Browse IN providers · Browse ZIP 46614
Phone
5746471700
Fax
5742913351
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Rheumatology
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Medicine

Other Family Medicine Organizations in SOUTH BEND, IN

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.