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Beacon Medical Group, Inc.

Family Medicine 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

1609828946

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 714 N Michigan St, South Bend, IN, 46601
Phone (574) 647-7477
Fax (574) 647-3655
Enumeration date May 16, 2006
Last updated in NPPES Jul 10, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 01034518A (IN) Primary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
100092670B Medicaid IN -

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Beacon Medical Group, Inc.?
Beacon Medical Group, Inc. is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-10.