Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beacon Medical Group, Inc

Organization Nurse Practitioner · NPI 1083665673

Beacon Medical Group, Inc provides Nurse Practitioner services in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

926 Erskine Plz
South Bend, IN 46614-3244 Not confirmed with CMS for 10 years — call before visiting
Phone: (800) 635-5516
Fax: (574) 647-6514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71000651A (IN)

Record details

NPI number1083665673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Medpoint Express
NPI enumeratedMay 16, 2006
Last updated in NPPESAugust 29, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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