Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEACON MEDICAL GROUP, INC.
Active OrganizationBEACON MEDICAL GROUP, INC. is a Sports Medicine organization located in SOUTH BEND, Indiana. NPI 1578515151 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SOUTH BEND, IN
Registration Details
- NPI Number
- 1578515151
- Provider Type
- Organization
- NPI Issued
- May 16, 2006 (20.289754612868 yrs)
- Last Updated
- Aug 30, 2016
- License
-
01049328A (IN)
Practice Information
- Address
-
111 W JEFFERSON BLVDSUITE 100SOUTH BEND, IN, 466011994Browse IN providers · Browse ZIP 46601
- Phone
- 5746471669
- Fax
- 5742396461
- Primary Specialty
-
Sports Medicine
207QS0010X
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.