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Beacon Medical Group, Inc.

Podiatrist in Bremen, IN · enumerated 2011 · authorized official Jeffrey Costello, Vp/Cfo.

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

National Provider Identifier

1558652347

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 1020 High Rd, Bremen, IN, 46506
Phone (574) 546-8044
Enumeration date Apr 27, 2011
Last updated in NPPES Aug 30, 2016

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 07001058A (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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-08-30. Verify at npiregistry.cms.hhs.gov.
Where is Beacon Medical Group, Inc. located?
The practice location on file with NPPES is in Bremen, IN.

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