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 Family Medicine organization located in SOUTH BEND, Indiana. NPI 1568413359 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SOUTH BEND, IN

Registration Details

NPI Number
1568413359
Provider Type
Organization
NPI Issued
May 15, 2006 (20.0645055641 yrs)
Last Updated
Sep 27, 2013
License
01054535A (IN)

Practice Information

Address
3575 PORTAGE AVE
SOUTH BEND, IN, 466286092
Browse IN providers · Browse ZIP 46628
Phone
5746474530
Primary Specialty
Family Medicine
207Q00000X

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.