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 1437100161

Beacon Medical Group, Inc provides Family Medicine 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

1708 High St
South Bend, IN 46613-2633 Not confirmed with CMS for 10 years — call before visiting
Phone: (574) 647-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01059718A (IN)

Record details

NPI number1437100161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Beacon Medical Group Southeast Neighborhood Health Center
NPI enumeratedMay 15, 2006
Last updated in NPPESAugust 29, 2016
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

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