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BEACON MEDICAL GROUP SPECIALISTS BREMEN
NPI 1558652347
Podiatrist in Bremen, IN

Active since April 27, 2011
1020 HIGH RD, BREMEN, IN 46506(574) 546-8044 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Beacon Medical Group Specialists Bremen NPPES

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

BEACON MEDICAL GROUP SPECIALISTS BREMEN (NPI 1558652347) is a healthcare organization registered as a podiatrist in Bremen, Indiana and active in the NPI registry since April 2011. The organization lists Jeffrey P. Costello, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1558652347
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address1020 HIGH RDBremen, IN 46506-1093
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 546-8044
Organization SubpartNo
Authorized OfficialJeffrey P. CostelloVp/cfo · (574) 647-3549
Enumeration DateApril 27, 2011
Last NPPES UpdateAugust 30, 2016
✔ NPI 1558652347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IN · 07001058A
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1020 HIGH RD, Bremen, IN 46506
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Other Names 1

Doing Business AsBeacon Medical Group Specialists Bremen

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

COMMUNITY HOSPITAL OF BREMEN
Pharmacy (Institutional Pharmacy)
1020 HIGH RD
BREMEN, IN 46506
Marshall County (574) 546-8000
MRS. BRITTANEE NELSON RD
Dietitian, Registered
1020 HIGH RD
BREMEN, IN 46506
Marshall County (574) 546-8016
DIANE M. MACKIE & ASSOCIATES, PC
Pathology (Anatomic Pathology & Clinical Pathology)
1020 HIGH RD
BREMEN, IN 46506
Marshall County (574) 546-2211
MICHAEL WAYNE BARNEY DO
Emergency Medicine
1020 HIGH RD
BREMEN, IN 46506
Marshall County (574) 546-2211
AARON CARDON WOODWARD CRNA
Nurse Anesthetist, Certified Registered
1020 HIGH RD
BREMEN, IN 46506
Marshall County (574) 546-8098
COMMUNITY HOSPITAL OF BREMEN, INC.
Medicare Defined Swing Bed Unit
1020 HIGH RD
BREMEN, IN 46506
Marshall County (574) 546-2211
DR. DIANE M MACKIE DO
Pathology (Anatomic Pathology & Clinical Pathology)
1020 HIGH RD
BREMEN, IN 46506
Marshall County (574) 546-2211
STAT ANESTHESIA SPECIALISTS, LTD.
Anesthesiology
1020 HIGH RD
BREMEN, IN 46506
Marshall County (317) 697-1407

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 1558652347. It was assigned to this organization in the NPPES registry on April 27, 2011. The provider is doing business as Beacon Medical Group Specialists Bremen.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 1020 High Rd, Bremen, IN 46506. The listed phone number is (574) 546-8044.

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

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.