BEACON MEDICAL GROUP OCCUPATIONAL HEALTH SOUTH BEND
NPI 1780856724
Preventive Medicine - Aerospace Medicine in South Bend, IN

NPI Status: Active since March 31, 2008

Contact Information

2301 N BENDIX DR
SUITE 500
SOUTH BEND, IN
ZIP 46628
Phone: (574) 647-1675
Fax: (574) 232-5595

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  • Organization
  • Preventive Medicine
  • Aerospace Medicine
  • Accepts Insurance

About BEACON MEDICAL GROUP OCCUPATIONAL HEALTH SOUTH BEND

This page provides the complete NPI Profile along with additional information for Beacon Medical Group Occupational Health South Bend, a provider established in South Bend, Indiana operating as a Preventive Medicine, focusing in aerospace medicine . The healthcare provider is registered in the NPI registry with number 1780856724 assigned on March 2008. The practitioner's primary taxonomy code is 2083A0100X with license number 01047560A (IN). The provider is registered as an organization and their NPI record was last updated 10 years ago. Beacon Medical Group Occupational Health South Bend operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Beacon Medical Group Occupational Health South Bend. The authorized official of this NPI record is Mr. Jeffrey P. Costello (Vp/cfo)

NPI
1780856724
Provider Legal Name
BEACON MEDICAL GROUP, INC.
Other Organization Name
BEACON MEDICAL GROUP OCCUPATIONAL HEALTH SOUTH BEND
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2301 N BENDIX DR SUITE 500 SOUTH BEND, IN 46628
Location Phone
(574) 647-1675
Location Fax
(574) 232-5595
Mailing Address
710 N NILES AVE SOUTH BEND, IN 46617
Mailing Phone
(574) 647-1610
Mailing Fax
(574) 232-5595
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2008
Last Update Date
08-30-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preventive Medicine Aerospace Medicine

Taxonomy Code
2083A0100X
Type
Allopathic & Osteopathic Physicians
License No.
01047560A
License State
IN
Taxonomy Description
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

71000502A (IN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Catastrophic Essential (+ Incentives) - HMO
  • Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
  • Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFFREY P. COSTELLO

Authorized Official Title
VP/CFO
Authorized Official Phone
(574) 647-3549

Reviews for BEACON MEDICAL GROUP OCCUPATIONAL HEALTH SOUTH BEND

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780856724, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 6 + 5 + 1 + 2 + 7 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1780856724.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Preventive Medicine (Occupational Medicine)
2301 N BENDIX DR, STE. 500
SOUTH BEND, IN 46628
Family Medicine
2301 N BENDIX DR, SUITE 500
SOUTH BEND, IN 46628
Nurse Practitioner (Family)
2301 N BENDIX DR, SUITE 500
SOUTH BEND, IN 46628
Physician Assistant
2301 N BENDIX DR
SOUTH BEND, IN 46628

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780856724, enumerated as an "organization" on March 31, 2008.

The provider is located at 2301 N BENDIX DR SUITE 500 SOUTH BEND, IN 46628 and the phone number is (574) 647-1675.

Preventive Medicine with taxonomy code 2083A0100X and a focus in Aerospace Medicine.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.