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Beacon Medical Group, Inc. — NPI 1467408237, South Bend, IN | NPI Central

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NPI 1467408237

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Beacon Medical Group, Inc.

NPI 1467408237 · Pediatric Critical Care Medicine Physician · South Bend, IN

Provider details

NPI number: 1467408237
Entity type: Organization
Primary specialty: Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jeffrey Costello, Cfo(574) 647-3549

Specialties & taxonomies

Pediatric Critical Care Medicine PhysicianPrimary2080P0203X
Allopathic & Osteopathic Physicians

Practice location

615 N Michigan St 5th Fl

South Bend, IN 46601-1033

Phone: (574) 647-7275

Fax: (574) 647-3696

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

710 N Niles Ave

South Bend, IN 46617-1924

Other names (DBA / former)

Doing business as: Beacon Medical Group Critical Kids

Registry dates

Enumerated: 2006-05-25
Last updated: 2023-04-24
Certified: 2023-04-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.