Organization · Type 2 NPI
Beacon Medical Group, Inc.
Nephrology Physician · South Bend, IN
NPI number
1124423546
Active
Practice location
100 Navarre Pl Ste 4400
South Bend, IN 46601-1100
Fax (574) 647-1974
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Other practice locations
- 100 Navarre Pl Ste 4405, South Bend, IN 46601-1176 · (574) 647-1972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | None listed |
Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2 other providers at this address
About NPI 1124423546
Beacon Medical Group, Inc.'s National Provider Identifier is 1124423546, issued on Oct 28, 2014. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in South Bend, IN. The record was last updated on Oct 12, 2017.