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BEACON MEDICAL GROUP EDWARDSBURG
NPI 1205852365
Family Medicine in Edwardsburg, MI

Active since July 14, 2006
27082 W MAIN STREET, EDWARDSBURG, MI 49112(269) 663-8288(269) 663-2426 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2023, Oct 27, 2016, Sep 21, 2016 (3 updates tracked since 2016).

About Beacon Medical Group Edwardsburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON MEDICAL GROUP EDWARDSBURG (NPI 1205852365) is a healthcare organization registered as a family medicine in Edwardsburg, Michigan and active in the NPI registry since July 2006. The organization lists Jeff P Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205852365
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address27082 W MAIN STREETEdwardsburg, MI 49112-9334
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Phone(269) 663-8288
Fax(269) 663-2426
Organization SubpartNo
Authorized OfficialJeff P CostelloCfo · (574) 647-3549
Enumeration DateJuly 14, 2006
Last NPPES UpdateMay 3, 20233 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1205852365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 06-005017-1
Definition
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.
27082 W MAIN STREET, Edwardsburg, MI 49112
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Other Names 1

Doing Business AsBeacon Medical Group Edwardsburg

Other Identifiers 2

Medicaid080A410090MI
Medicaid100220310AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1205852365. It was assigned to this organization in the NPPES registry on July 14, 2006. The provider is doing business as Beacon Medical Group Edwardsburg.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 27082 W Main Street, Edwardsburg, MI 49112. The listed phone number is (269) 663-8288.

What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Beacon Medical Group, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Beacon Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.