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

Beacon Medical Group, Inc

Organization Family Medicine Physician · NPI 1205852365

Beacon Medical Group, Inc provides Family Medicine Physician services in Edwardsburg, Michigan. 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

27082 W Main St
Edwardsburg, MI 49112-9334
Phone: (269) 663-8288
Fax: (269) 663-2426
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 06-005017-1 (IN)

Record details

NPI number1205852365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Costello — Cfo · (574) 647-3549
Other names Beacon Medical Group Edwardsburg; Beacon Medical Group Edwardsburg
NPI enumeratedJuly 14, 2006
Last updated in NPPESMay 3, 2023
Certification dateApril 24, 2023
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Other providers in Edwardsburg