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BEACON MEDICAL GROUP- BUCHANAN
NPI 1487036869
Family Medicine in Buchanan, MI

Active since June 23, 2015
804 E FRONT ST, BUCHANAN, MI 49107(269) 695-3897(269) 695-6407 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beacon Medical Group- Buchanan NPPES

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

BEACON MEDICAL GROUP- BUCHANAN (NPI 1487036869) is a healthcare organization registered as a family medicine in Buchanan, Michigan and active in the NPI registry since June 2015. The organization lists Jeffrey P. Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487036869
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address804 E FRONT STBuchanan, MI 49107-1444
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(269) 695-3897
Fax(269) 695-6407
Organization SubpartYesParent: Beacon Health System, Inc.
Authorized OfficialJeffrey P. CostelloCfo · (574) 647-3549
Enumeration DateJune 23, 2015
Last NPPES UpdateSeptember 20, 2016
✔ NPI 1487036869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
804 E FRONT ST, Buchanan, MI 49107
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Other Names 1

Doing Business AsBeacon Medical Group- Buchanan

Other Identifiers 1

Medicare PINMI7204IN

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAROLD BROWN MD
Family Medicine (Adult Medicine)
804 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-3897
HAROLD E BROWN M.D.
Family Medicine
804 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-3897
MICHIANA UROLOGY PC
Urology
804 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-3897

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 1487036869. It was assigned to this organization in the NPPES registry on June 23, 2015. The provider is doing business as Beacon Medical Group- Buchanan.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 804 E Front St, Buchanan, MI 49107. The listed phone number is (269) 695-3897.

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

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

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on September 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.