BEACON MEDICAL GROUP SPORTS MEDICINE SOUTH BEND – NPI #1578515151
Family Medicine
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
BEACON MEDICAL GROUP SPORTS MEDICINE SOUTH BEND is a provider located in SOUTH BEND, IN. NPPES has assigned the NPI number 1578515151 to BEACON MEDICAL GROUP SPORTS MEDICINE SOUTH BEND on May 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON MEDICAL GROUP SPORTS MEDICINE SOUTH BEND” is a dba name, the actual legal business name for this organization is BEACON MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine
The NPI profile was previously updated about 10 years ago on Aug 30, 2016. 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 SPORTS MEDICINE SOUTH BEND below.
NPI Profile for
BEACON MEDICAL GROUP, INC.
(more than 20 years ago)
SUITE 100
SOUTH BEND, IN 46601-1994 Phone: (574) 647-1669 Fax: (574) 239-6461
SOUTH BEND, IN 46617-1924 Phone: (574) 647-1610 Fax:
VP-CFO
Phone: (574) 647-3549
Identifiers for BEACON MEDICAL GROUP SPORTS MEDICINE SOUTH BEND
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | IN | 200302560A |
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 |
|---|---|---|
| 207QS0010X - Family Medicine / Sports Medicine (Primary) |
IN | 01049328A |
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.