BEACON MEDICAL GROUP, INC. – NPI #1710939608
Obstetrics & Gynecology
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
BEACON MEDICAL GROUP, INC. is a provider located in SOUTH BEND, IN. NPPES has assigned the NPI number 1710939608 to BEACON MEDICAL GROUP, INC. on May 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VM0101X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on Feb 10, 2026. 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, INC. below.
NPI Profile for
BEACON MEDICAL GROUP, INC.
(more than 20 years ago)
SOUTH BEND, IN 46601-1171 Phone: (574) 647-6370 Fax: (574) 647-6373
GRANGER, IN 46530-1380 Phone: (574) 647-3725 Fax:
VP-CFO
Phone: (574) 647-3549
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.
Identifiers for BEACON MEDICAL GROUP, INC.
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 | 300125576 |
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 |
|---|---|---|
| 207VM0101X - Obstetrics & Gynecology / Maternal & Fetal Medicine (Primary) |
IN | 01053966A |
| 363LF0000X - Nurse Practitioner / Family |
||
| 2086S0102X - Surgery / Surgical Critical Care |
||
| 207V00000X - Obstetrics & Gynecology |
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| 170300000X - Genetic Counselor, MS |
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.