BMG WOMEN'S SURGICAL GYN/ONC @ MRCC
NPI 1821482431
Obstetrics & Gynecology - Gynecologic Oncology in South Bend, IN

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

The NPI number for Beacon Medical Group, Inc. is 1821482431. It was assigned to this organization in the NPPES registry on March 20, 2015. The provider is doing business as Bmg Women's Surgical Gyn/Onc @ Mrcc.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Active since March 20, 2015

100 NAVARRE PL STE 4470, SOUTH BEND, IN 46601(574) 647-4230(574) 647-4235 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bmg Women's Surgical Gyn/onc @ Mrcc NPPES

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

BMG WOMEN'S SURGICAL GYN/ONC @ MRCC (NPI 1821482431) is a healthcare organization registered as a gynecologic oncology in South Bend, Indiana and active in the NPI registry since March 2015. The organization lists Jeffrey P. Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1821482431

Entity TypeOrganization

Primary Taxonomy207VX0201X

Legal Business NameBEACON MEDICAL GROUP, INC.

Location Address100 NAVARRE PL STE 4470South Bend, IN 46601-1168

Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069

Phone(574) 647-4230

Fax(574) 647-4235

Organization SubpartYesParent: Beacon Health System, Inc.

Authorized OfficialJeffrey P. CostelloCfo · (574) 647-3549

Enumeration DateMarch 20, 2015

Last NPPES UpdateApril 28, 2023

NPPES CertifiedApril 28, 2023

✔ NPI 1821482431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

100 NAVARRE PL STE 4470, South Bend, IN 46601

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Other Names 1

Doing Business AsBmg Women's Surgical Gyn/onc @ Mrcc

Other Identifiers 1

Medicaid201285860AIN

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 ›

Other Providers at the Same Location NPPES 13

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

ALLISON KATE MOLENCUPP CNM

Advanced Practice Midwife