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 2083A0100X organization located in SOUTH BEND, Indiana. NPI 1780856724 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · SOUTH BEND, IN
Registration Details
- NPI Number
- 1780856724
- Provider Type
- Organization
- NPI Issued
- Mar 31, 2008 (18.356138877561 yrs)
- Last Updated
- Aug 30, 2016
- Licenses
-
71000502A (IN)01047560A (IN)
Practice Information
- Address
-
2301 N BENDIX DRSUITE 500SOUTH BEND, IN, 466283486Browse IN providers · Browse ZIP 46628
- Phone
- 5746471675
- Fax
- 5742325595
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- 2083A0100X
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.