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BEACON MEDICAL GROUP INC. NPI 1558652347


NPI Information

NPI: 1558652347
Provider Name: BEACON MEDICAL GROUP, INC.

Doing Business As: BEACON MEDICAL GROUP SPECIALISTS BREMEN

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1020 HIGH RD
BREMEN, IN
ZIP 46506
Phone: (574) 546-8044
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BEACON MEDICAL GROUP, INC. is a podiatrist in Bremen, IN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BEACON MEDICAL GROUP, INC. NPI is 1558652347. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Beacon Medical Group Specialists Bremen.

The provider's business location address is:

1020 HIGH RD
BREMEN, IN
ZIP 46506-093
Phone: (574) 546-8044

The provider's authorized official is Jeffrey P. Costello .
The authorized official title is Vp/cfo and has the following contact phone number (574) 647-3549.

The enumeration date for this NPI number is 4/27/2011 and was last updated on 8/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist07001058AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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