Family Medicine
BEACON MEDICAL GROUP, INC.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1437100161 · enumerated 2006-05-15 · record updated 2016-08-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JEFFREY COSTELLO, VP-CFO · (574) 647-3549
Other names: BEACON MEDICAL GROUP SOUTHEAST NEIGHBORHOOD HEALTH CENTER
Addresses and phones
- Mailing address 710 N NILES AVE, SOUTH BEND, IN, 46617-1924 (574) 647-1610 Google Maps Apple Maps OpenStreetMap
- Practice location 1708 HIGH ST, SOUTH BEND, IN, 46613-2633 (574) 647-1400 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 01059718A IN
In this directory
Locations and evidence
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Practice location
SOUTH BEND, IN, 466132633
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.