| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1629541784 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1376925891 | FORD | TRACY | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1891207320 | GLASSFORD | BARBARA | ANN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1205824570 | GRELLMANN | DAVID | CHARLES | 710 N. NILES AVE | SOUTH BEND | IN | 466351924 | |
| 1487644175 | MANN | CAROL | J | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1609846062 | RANSOM | JASON | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1144281130 | RIESS | TAMARA | L | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1396764270 | SOUTHE | PATRICK | E | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |