Organization · Type 2 NPI

Beacon Medical Group, Inc.

Neurological Surgery Physician · South Bend, IN

NPI number 1861421141 Active

Practice location

100 Navarre Pl Ste 6600
South Bend, IN 46601-1173

Call (574) 647-8800 Map

Fax (574) 647-8811

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice locations

  • 100 Navarre Pl Ste 4400, South Bend, IN 46601-1100 · (574) 647-2501
  • 6913 N Main St Ste 100, Granger, IN 46530-8039 · (574) 647-8542
  • 500 Arcade Ave Ste 200, Elkhart, IN 46514-2485 · (574) 294-8404
  • 5314 Lincolnway E, Mishawaka, IN 46544-4249 · (574) 647-8542

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Neurology Physician 2084N0400XNone listed
Clinical Neurophysiology Physician 2084N0600XNone listed
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

15 other providers at this address

About NPI 1861421141

Beacon Medical Group, Inc.'s National Provider Identifier is 1861421141, issued on Jun 30, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in South Bend, IN. The record was last updated on Mar 30, 2026.