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

Beacon Medical Group Inc

Organization Rheumatology Physician · NPI 1205887817

Beacon Medical Group Inc provides Rheumatology Physician 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

707 N Michigan St Ste 102
South Bend, IN 46601-1067 Not confirmed with CMS for 10 years — call before visiting
Phone: (574) 647-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 01061323A (IN)

Record details

NPI number1205887817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Michiana Arthritis & Osteoporosis Center
NPI enumeratedMay 16, 2006
Last updated in NPPESMay 13, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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