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Beacon Medical Group, Inc. — NPI 1932468352, South Bend, IN | NPI Central

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NPI 1932468352

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Beacon Medical Group, Inc.

NPI 1932468352 · Vascular & Interventional Radiology Physician · South Bend, IN

Provider details

NPI number: 1932468352
Entity type: Organization
Primary specialty: Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jeffrey Costello, Cfo(574) 647-3549

Specialties & taxonomies

Vascular & Interventional Radiology PhysicianPrimary2085R0204X
Allopathic & Osteopathic Physicians

Practice location

621 Memorial Dr Ste 312

South Bend, IN 46601-1073

Phone: (574) 647-5200

Fax: (574) 647-5210

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 Vascular Interventional Radiology

Registry dates

Enumerated: 2012-05-04
Last updated: 2017-10-12

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