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Beacon Medical Group, Inc. — NPI 1821482431, South Bend, IN | NPI Central

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NPI 1821482431

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Beacon Medical Group, Inc.

NPI 1821482431 · Gynecologic Oncology Physician · South Bend, IN

Provider details

NPI number: 1821482431
Entity type: Organization
Primary specialty: Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
Parent organization: Beacon Health System, Inc.
Organization subpart: Yes
Authorized official: Jeffrey Costello, Cfo(574) 647-3549

Specialties & taxonomies

Gynecologic Oncology PhysicianPrimary207VX0201X
Allopathic & Osteopathic Physicians

Practice location

100 Navarre Pl Ste 4470

South Bend, IN 46601-1168

Phone: (574) 647-4230

Fax: (574) 647-4235

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: Bmg Women'S Surgical Gyn/Onc @ Mrcc

Registry dates

Enumerated: 2015-03-20
Last updated: 2023-04-28
Certified: 2023-04-28

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