BMG WOMEN'S SURGICAL GYN/ONC @ MRCC – NPI #1821482431
Obstetrics & Gynecology

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.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

BMG WOMEN'S SURGICAL GYN/ONC @ MRCC is a provider located in SOUTH BEND, IN. NPPES has assigned the NPI number 1821482431 to BMG WOMEN'S SURGICAL GYN/ONC @ MRCC on March 20, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BMG WOMEN'S SURGICAL GYN/ONC @ MRCC” 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 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 3 years ago on Apr 28, 2023. 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 BMG WOMEN'S SURGICAL GYN/ONC @ MRCC below.

NPI Profile for
BEACON MEDICAL GROUP, INC.

NPI Number
1821482431
Enumeration Date

(more than 11 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): BMG WOMEN'S SURGICAL GYN/ONC @ MRCC
Primary location
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601-1168
Phone: (574) 647-4230 Fax: (574) 647-4235
Mailing address
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone: (574) 647-1610 Fax: (574) 237-6069
Organization Subpart
Yes - BMG WOMEN'S SURGICAL GYN/ONC @ MRCC is subpart of another organization.
Authorized Official
JEFFREY COSTELLO
CFO
Phone: (574) 647-3549
Updated
Certification Date
Apr 28, 2023

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

Identifiers for BMG WOMEN'S SURGICAL GYN/ONC @ MRCC

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.

DescriptionIssuerStateIdentifier
medicaidIN201285860A
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
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)

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.