Organization · Type 2 NPI

Beacon Medical Group, Inc.

Family Medicine Physician · La Porte, IN

NPI number 1639129117 Active

Practice location

900 I St
La Porte, IN 46350-5533

Fax (219) 324-1710

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X01056419A (IN)
Obstetrics & Gynecology Physician 207V00000XNone listed
Nurse Practitioner 363L00000XNone 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.

28 other providers at this address

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About NPI 1639129117

Beacon Medical Group, Inc.'s National Provider Identifier is 1639129117, issued on May 12, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in La Porte, IN. The record was last updated on Mar 4, 2024.