HomeNPI Verification

NPI Verification

National Provider Identifier: 1689627812

Beacon Medical Group

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

100 NAVARRE PL

SUITE 4400

SOUTH BEND, IN 466011156

Phone: 574-647-4535

NPI Enumeration Date

May 18, 2006

NPI Number

1689627812

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry