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Beacon Medical Group, Inc.

Aerospace Medicine Physician in South Bend, IN · enumerated 2008 · authorized official Jeffrey Costello, Vp/Cfo.

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

National Provider Identifier

1780856724

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Medical Group, Inc.
Other name <Unavail>
Practice address 2301 N Bendix Dr, Suite 500, South Bend, IN, 46628
Phone (574) 647-1675
Fax (574) 232-5595
Enumeration date Mar 31, 2008
Last updated in NPPES Aug 30, 2016

Taxonomy & classification

2083A0100X Aerospace Medicine Physician Allopathic & Osteopathic Physicians · License 01047560A (IN) Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 71000502A (IN) Secondary

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 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 Aerospace Medicine Physician (its primary provider taxonomy).

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