BEACON MEDICAL GROUP OCCUPATIONAL HEALTH SOUTH BEND – NPI #1780856724
Preventive Medicine

Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

BEACON MEDICAL GROUP OCCUPATIONAL HEALTH SOUTH BEND is a provider located in SOUTH BEND, IN. NPPES has assigned the NPI number 1780856724 to BEACON MEDICAL GROUP OCCUPATIONAL HEALTH SOUTH BEND on March 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON MEDICAL GROUP OCCUPATIONAL HEALTH SOUTH BEND” is a dba name, the actual legal business name for this organization is BEACON MEDICAL GROUP, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083A0100X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Aerospace 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 OCCUPATIONAL HEALTH SOUTH BEND below.

NPI Profile for
BEACON MEDICAL GROUP, INC.

NPI Number
1780856724
Enumeration Date

(more than 18 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 OCCUPATIONAL HEALTH SOUTH BEND
Primary location
2301 N BENDIX DR
SUITE 500
SOUTH BEND, IN 46628-3486
Phone: (574) 647-1675 Fax: (574) 232-5595
Mailing address
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone: (574) 647-1610 Fax: (574) 647-1825
Organization Subpart
No
Authorized Official
JEFFREY COSTELLO
VP/CFO
Phone: (574) 647-3549
Updated
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
2083A0100X
- Preventive Medicine / Aerospace Medicine (Primary)
IN 01047560A
363LF0000X
- Nurse Practitioner / Family
IN 71000502A

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.