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Search › Indiana › 207X00000X

Gregg Ebersole, M.D

NPI 1093000366 · on the registry since 2011

Practice

Address
100 Navarre Pl Ste 4440
South Bend, IN 46601
Phone
(574) 647-5300
Fax
(574) 647-5305
Organisation at this address
Dr. Michael Englert
Beacon Medical Group
Beacon Medical Group Inc
Beacon Medical Group, Inc.
Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
118

Additional practice sites

  • 3221 Beacon Pkwy, Granger, IN
  • 1815 E Ireland Rd, South Bend, IN
  • 900 I St, La Porte, IN
  • 2235 Cleveland Rd, South Bend, IN

Registry record

Primary taxonomy
207X00000X
207X00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana