OrganizationActive
Beacon Medical Group, Inc.
NPI 1558652347 · Podiatrist · Bremen, IN
Beacon Medical Group, Inc. is a Podiatrist organization in Bremen, IN (NPI 1558652347).
Provider details
- NPI number
- 1558652347
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Costello, Vp/Cfo(574) 647-3549
- License
- 07001058A (IN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1020 High Rd
Bremen, IN 46506-1093
Phone: (574) 546-8044
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 Specialists Bremen
Registry dates
- Enumerated
- 2011-04-27
- Last updated
- 2016-08-30
Frequently asked questions
- What is Beacon Medical Group, Inc.'s NPI number?
- Beacon Medical Group, Inc.'s National Provider Identifier (NPI) is 1558652347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beacon Medical Group, Inc.?
- Beacon Medical Group, Inc. is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Beacon Medical Group, Inc. located?
- Beacon Medical Group, Inc.'s practice location on file with NPPES is 1020 High Rd, Bremen, IN 46506-1093.
- What is Beacon Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Beacon Medical Group, Inc. is (574) 546-8044.
- Who is the authorized official for Beacon Medical Group, Inc.?
- The authorized official listed on Beacon Medical Group, Inc.'s NPPES record is Jeffrey Costello, Vp/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beacon Medical Group, Inc.'s NPI active?
- Yes — Beacon Medical Group, Inc.'s NPI (1558652347) is active in the NPPES registry as of the last update on 2016-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.