| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114363835 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1598161010 | KERCHER | JANET | E. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1003838293 | KRAGT | ANNA | K | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1790764868 | TACKET | DOUGLAS | GREGORY | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |