Individual provider Active NPI

Benjamin J Visger, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Muskegon, MI
National Provider Identifier
1265724603
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
5101019204 Issued in MI
Practice address
1150 E Sherman Blvd
Suite 2400
Muskegon, MI 49444-1871
Phone
(231) 672-6336
Fax
(231) 672-6335
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 5101019204 MI
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101019204 MI Primary

Addresses

Primary practice location

1150 E Sherman Blvd
Suite 2400
Muskegon, MI 49444-1871

Mailing address

PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 727-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140509001736 MI Practitioner - Osteopathic Manipulative Medicine 8527291913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benjamin J Visger DO PLLCGroup PAC ID 3173818341, 6 clinicians

Practice addresses (Care Compare)

162 N Causeway St
North Muskegon, MI 49445-3302
Phone (231) 981-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin J Visger DO PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Sep 6, 2016 Accepting new patients

Locations

162 N Causeway St
North Muskegon, MI 49445
Phone (231) 744-3700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1265724603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431847",
            "telephone_number": "231-727-5211",
            "fax_number": "231-727-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD",
            "address_2": "SUITE 2400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441871",
            "telephone_number": "231-672-6336",
            "fax_number": "231-672-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISGER",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5101019204",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101019204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.