BEACON MEDICAL GROUP, INC.
BEACON MEDICAL GROUP, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1780856724, based in South Bend, IN. The organization lists 2 taxonomy classifications, with Aerospace Medicine Physician recorded as primary.
Getting there
The practice address on file is 2301 N BENDIX DR SUITE 500, South Bend, IN 46628. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 01047560A | IN | Aerospace Medicine Physician primary |
| 71000502A | IN | Family Nurse Practitioner |
This provider holds licence 01047560A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Aerospace Medicine covers
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. NUCC Health Care Provider Taxonomy, code 2083A0100X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2083A0100X | Aerospace Medicine Physician Aerospace Medicine | 01047560A | IN | primary |
| 363LF0000X | Family Nurse Practitioner Family | 71000502A | IN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1780856724 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 31, 2008 |
| Last updated | Aug 30, 2016 |
| Status | Active |
| Practice address |
2301 N BENDIX DR SUITE 500 South Bend, IN 46628 (574) 647-1675 Fax (574) 232-5595 |
| Mailing address |
710 N NILES AVE South Bend, IN 46617 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 8 | 0 | 8 | 5 | 6 | 7 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 7 | 0 | 7 | 5 | 3 | 7 | 4 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.