DR. BENJAMIN HAZEN MD
NPI 1104352129
Pediatrics in Traverse City, MI

Active since May 11, 2017
4020 W ROYAL DR, TRAVERSE CITY, MI 49684(231) 421-8099 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Mar 25, 2021, Mar 16, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Benjamin Hazen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN HAZEN MD (NPI 1104352129) is an individual pediatrics provider in Traverse City, Michigan, licensed in Michigan (MD469663) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1104352129
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BENJAMIN HAZENCredential: MD
Location Address4020 W ROYAL DRTraverse City, MI 49684-8965
Mailing Address4020 W Royal DrTraverse City, MI 49684-8965 · (231) 421-8099
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateMay 28, 20254 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1104352129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · MD469663
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4020 W ROYAL DR, Traverse City, MI 49684

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Adolescent Medicine)
4020 W ROYAL DR
TRAVERSE CITY, MI 49684
Pediatrics
4020 W ROYAL DR
TRAVERSE CITY, MI 49684
Pediatrics
4020 W ROYAL DR
TRAVERSE CITY, MI 49684
Pediatrics
4020 W ROYAL DR
TRAVERSE CITY, MI 49684
Pediatrics
4020 W ROYAL DR
TRAVERSE CITY, MI 49684

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Hazen's NPI number?

The NPI number for Benjamin Hazen is 1104352129. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Benjamin Hazen located?

Benjamin Hazen practices at 4020 W Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 421-8099.

What is Benjamin Hazen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Benjamin Hazen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Benjamin Hazen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Hazen was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.