Organization · Type 2 NPI

Beacon Medical Group, Inc.

Family Medicine Physician · South Bend, IN

NPI number 1124079330 Active

Practice location

1815 E Ireland Rd
South Bend, IN 46614-2845

Call (574) 647-1700 Map

Fax (574) 291-3351

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice locations

  • 576 N Oak Dr, Plymouth, IN 46563-1664 · (574) 647-5170

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X01043622A (IN)
Sports Medicine (Family Medicine) Physician 207QS0010XNone listed
Internal Medicine Physician 207R00000XNone listed
Interventional Cardiology Physician 207RI0011XNone listed
Rheumatology Physician 207RR0500XNone listed
Neurological Surgery Physician 207T00000XNone listed
Diagnostic Ultrasound Physician 2085U0001XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

35 other providers at this address

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About NPI 1124079330

Beacon Medical Group, Inc.'s National Provider Identifier is 1124079330, issued on May 12, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in South Bend, IN. The record was last updated on Jun 25, 2026.