| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1295087500 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1750941779 | BERGSTROM | JORDAN | LEIGH | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1942664784 | GENTILE | ANDREA | LESLIE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1275735581 | GILBERT | JOHN | S | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1902245194 | KEVERN | ERIN | MARIE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1912458019 | TWYMAN | CHELSEA | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1508013418 | WRIGHT | ANGELA | MARIE | PO BOX 5545 | LAFAYETTE | IN | 479035545 |