Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ferris State University

Organization Sports Medicine (Family Medicine) Physician · NPI 1881320315

Ferris State University is a Sports Medicine (Family Medicine) Physician in Big Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

420 Oak St
Big Rapids, MI 49307-2000
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1881320315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Ferris State Athletics
NPI enumeratedJuly 27, 2022
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415