DoctorDataHub
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 Trauma Surgery organization located in SOUTH BEND, Indiana. NPI 1174927131 is currently active in the NPPES registry. Verify at CMS.

Trauma Surgery · SOUTH BEND, IN

Registration Details

NPI Number
1174927131
Provider Type
Organization
NPI Issued
Oct 20, 2014 (11.825967474218 yrs)
Last Updated
Apr 24, 2023

Practice Information

Address
621 MEMORIAL DR STE 502
SOUTH BEND, IN, 466011075
Browse IN providers · Browse ZIP 46601
Phone
5746475875
Fax
5746475878
Primary Specialty
Trauma Surgery
2086S0127X
Additional Specialty
Vascular Surgery
Additional Specialty
Trauma Surgery
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.