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

Beacon Medical Group, Inc

Organization Family Medicine Physician · NPI 1609828946

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
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

714 N Michigan St
South Bend, IN 46601-1035
Phone: (574) 647-7477
Fax: (574) 647-3655
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01034518A (IN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1609828946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Vp-Cfo · (574) 647-3549
Other names Beacon Medical Group E. Blair Warner; Beacon Medical Group E. Blair Warner
NPI enumeratedMay 16, 2006
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address710 N Niles Ave, South Bend, IN 46617-1924

Other providers in South Bend