OrganizationActive
Beacon Medical Group, Inc.
NPI 1487036869 · Family Medicine Physician · Buchanan, MI
Provider details
- NPI number
- 1487036869
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Beacon Health System, Inc.
- Organization subpart
- Yes
- Authorized official
- Jeffrey Costello, Cfo(574) 647-3549
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
804 E Front St
Buchanan, MI 49107-1444
Phone: (269) 695-3897
Fax: (269) 695-6407
Street-level locationGet directions
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Other names (DBA / former)
- Doing business as
- Beacon Medical Group- Buchanan
Registry dates
- Enumerated
- 2015-06-23
- Last updated
- 2016-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.