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

Beacon Medical Group, Inc

Organization Pediatrics Physician · NPI 1447203674

Beacon Medical Group, Inc provides Pediatrics 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.

See every abbreviation used in this directory →

Practice location Address checks out

100 Navarre Pl Ste 4440
South Bend, IN 46601-1171
Phone: (574) 647-4540
Fax: (574) 647-4542
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01046281A (IN)

Record details

NPI number1447203674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Memorial Children'S Hospital Navarre Pediatrics; Memorial Children'S Hospital Navarre Pediatrics
NPI enumeratedMay 18, 2006
Last updated in NPPESApril 4, 2019
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Other providers in South Bend