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Beacon Medical Group, Inc. — NPI 1780859157, South Bend, IN | NPI Central

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NPI 1780859157

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Beacon Medical Group, Inc.

NPI 1780859157 · Cardiovascular Disease Physician · South Bend, IN

Provider details

NPI number: 1780859157
Entity type: Organization
Primary specialty: Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jeffrey Costello, Vp/Cfo(574) 647-3549
License: 01045628A (IN)

Specialties & taxonomies

Cardiovascular Disease PhysicianPrimary207RC0000XLicense 01045628A (IN)
Allopathic & Osteopathic Physicians

Practice location

610 N Michigan St Ste 400

South Bend, IN 46601-1081

Phone: (574) 647-8120

Fax: (574) 647-8111

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 Advanced Cardiology Specialists South Bend
Doing business as: Beacon Medical Group Advanced Cardiology Specialists South Bend

Registry dates

Enumerated: 2008-04-28
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.