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Beacon Medical Group Inc

Obstetrics & Gynecology Physician in South Bend, IN · enumerated 2006 · authorized official Jeffrey Costello, Vp-Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124071246

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group Inc
Other name <Unavail>
Practice address 100 Navarre Pl, Suite 4470, South Bend, IN, 46601
Phone (574) 647-4230
Enumeration date May 18, 2006
Last updated in NPPES Aug 30, 2016

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 01027434A (IN) Primary

Authorized official

Name Jeffrey Costello
Title Vp-Cfo
Phone (574) 647-3549

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Beacon Medical Group Inc?
The NPI for Beacon Medical Group Inc is 1124071246, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Beacon Medical Group Inc?
NPPES lists Jeffrey Costello (Vp-Cfo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-30.