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

Benjamin Glines I, DO

Individual provider Emergency Medicine Physician · NPI 1174017180

Benjamin Glines I, DO is an Emergency Medicine in South Bend, Indiana. Graduated from Michigan State University College of Osteopathic Medicine in 2018, 8 years ago. Practices with Epmg Downriver PLLC, a 32-clinician group and accepts Medicare assignment. Licensed in Indiana, Michigan and Ohio.

Years since qualifying
8
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
IN, MI, OH
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

615 N Michigan St
South Bend, IN 46601-1033
Phone: (574) 647-1000
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 34.017663 (OH)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 02006673A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5101026354 (MI)

Record details

NPI number1174017180
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 22, 2018
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing address615 N Michigan St, South Bend, IN 46601-1033

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Epmg Downriver Pllc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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