Individual provider Active NPI

Benjamin Travers, MD

  • Emergency Medicine Physician
  • Sturgis, MI
National Provider Identifier
1962146647
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1962146647 Issued in MI
Practice address
916 Myrtle St
Sturgis, MI 49091-2326
Phone
(296) 651-7824
NPI assigned
Apr 27, 2022
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1962146647 MI Primary

Addresses

Primary practice location

916 Myrtle St
Sturgis, MI 49091-2326

Mailing address

916 Myrtle St
Sturgis, MI 49091-2326

Other practice location 1

602 Michigan Ave
Holland, MI 49423-4918
Phone (616) 392-5141

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
I20250930002974 MI Practitioner - Emergency Medicine 6204215247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oakland Univ, William Beaumont School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epi PCGroup PAC ID 0941293302, 16 clinicians
Sturgis Hospital IncGroup PAC ID 5395884621, 16 clinicians

Practice addresses (Care Compare)

602 Michigan Ave
Holland, MI 49423-4918
Phone (616) 392-5141

916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 651-7824

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1962146647MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epi PC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Sturgis Hospital, Inc. Current Accepting new patients
Sturgis Hospital, Inc. CurrentSince Sep 6, 2025 Accepting new patients
Sturgis Hospital, Inc. CurrentSince Sep 6, 2025 Accepting new patients

Locations

602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

Interoperability endpoints

  • Direct secure messaging: btravers414678@directhisp.wakemed.org
  • Direct secure messaging: btravers873605@direct.unc.nchie.net

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1962146647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 MYRTLE ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 MYRTLE ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912326",
            "telephone_number": "296-651-7824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494234918",
            "country_code": "US",
            "telephone_number": "616-392-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-27",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "1962146647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, MI

Sources for this page

Verify at the official NPI Registry.