BEACON MEDICAL GROUP BREMEN – NPI #1942781109
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

BEACON MEDICAL GROUP BREMEN is a provider located in BREMEN, IN. NPPES has assigned the NPI number 1942781109 to BEACON MEDICAL GROUP BREMEN on August 27, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON MEDICAL GROUP BREMEN” is a dba name, the actual legal business name for this organization is BEACON MEDICAL GROUP INC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Feb 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEACON MEDICAL GROUP BREMEN below.

NPI Profile for
BEACON MEDICAL GROUP INC

NPI Number
1942781109
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEACON MEDICAL GROUP INC
Doing Business As (dba): BEACON MEDICAL GROUP BREMEN
Other name(s)
All associated names:
Doing Business As (dba)
BEACON MEDICAL GROUP BREMEN
Doing Business As (dba)
Beacon Medical Group Bremen South Street
Primary location
1144 W PLYMOUTH ST
BREMEN, IN 46506-1842
Phone: (574) 546-5363 Fax: (574) 546-2575
1 Other location(s):
1120 W South St
Bremen, IN 46506-1849
Phone: (574) 301-4066
Fax: (574) 301-4098
Mailing address
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone: (574) 647-1610 Fax: (574) 237-6069
Organization Subpart
No
Authorized Official
JEFFREY COSTELLO
CFO
Phone: (574) 647-3460
Updated
Certification Date
Feb 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363LF0000X
- Nurse Practitioner / Family
207VG0400X
- Obstetrics & Gynecology / Gynecology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.