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

Active since March 31, 2008
2301 N BENDIX DR, SUITE 500, SOUTH BEND, IN 46628(574) 647-1675(574) 232-5595 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beacon Medical Group Occupational Health South Bend NPPES

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

BEACON MEDICAL GROUP OCCUPATIONAL HEALTH SOUTH BEND (NPI 1780856724) is a healthcare organization registered as an aerospace medicine in South Bend, Indiana and active in the NPI registry since March 2008. The organization lists Jeffrey P. Costello, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1780856724
Entity TypeOrganization
Primary Taxonomy2083A0100X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address2301 N BENDIX DR, SUITE 500South Bend, IN 46628-3486
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 647-1825
Phone(574) 647-1675
Fax(574) 232-5595
Organization SubpartNo
Authorized OfficialJeffrey P. CostelloVp/cfo · (574) 647-3549
Enumeration DateMarch 31, 2008
Last NPPES UpdateAugust 30, 2016
✔ NPI 1780856724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0100X
License✔ Licensed in IN · 01047560A
Definition
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71000502A (IN)
2301 N BENDIX DR, South Bend, IN 46628
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Other Names 1

Doing Business AsBeacon Medical Group Occupational Health South Bend

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

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

MR. JOEL WAYNE COOTS MPAS,PA-C
Physician Assistant
2301 N BENDIX DR
SOUTH BEND, IN 46628
St. Joseph County (574) 647-1675
DR. MELINDA MILLAN DY D.O.
Family Medicine
2301 N BENDIX DR, SUITE 500
SOUTH BEND, IN 46628
St. Joseph County (574) 647-1675
MARY EILEEN SCHLUNZ NP-C
Nurse Practitioner (Family)
2301 N BENDIX DR, SUITE 500
SOUTH BEND, IN 46628
St. Joseph County (574) 647-1675
DR. ERIC PAUL WOHLRAB M.D.
Preventive Medicine (Occupational Medicine)
2301 N BENDIX DR, STE. 500
SOUTH BEND, IN 46628
St. Joseph County (574) 647-1675

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 1780856724. It was assigned to this organization in the NPPES registry on March 31, 2008. The provider is doing business as Beacon Medical Group Occupational Health South Bend.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 2301 N Bendix Dr Suite 500, South Bend, IN 46628. The listed phone number is (574) 647-1675.

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

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

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 August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.