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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 Pediatrics organization located in SOUTH BEND, Indiana. NPI 1447203674 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · SOUTH BEND, IN

Registration Details

NPI Number
1447203674
Provider Type
Organization
NPI Issued
May 18, 2006 (20.266859463589 yrs)
Last Updated
Apr 4, 2019
License
01046281A (IN)

Practice Information

Address
100 NAVARRE PL STE 4440
SOUTH BEND, IN, 466011171
Browse IN providers · Browse ZIP 46601
Phone
5746474540
Fax
5746474542
Primary Specialty
Pediatrics
208000000X

Other Pediatrics 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.