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

Dr. James Wallace Robertson, MD

Individual provider Pediatrics Physician · NPI 1457357832

Dr. James Wallace Robertson, MD is a Pediatric Medicine in Traverse City, Michigan. Graduated from Michigan State University College of Human Medicine in 1995, 31 years ago. Practices with Kids Creek Childrens Clinic PC, a 3-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5024 N Royal Dr
Traverse City, MI 49684-9230
Phone: (231) 935-0555
Fax: (231) 935-0562
Show map & directions

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

Additional practice locations (3)

  • 14719 W Upright St, Charlevoix, MI 49720-1949 — (231) 547-3840
  • 829 N Center Ave Ste 130, Gaylord, MI 49735-1684 — (989) 731-7930
  • 1250 E Michigan Ave, Grayling, MI 49738-7074 — (989) 348-0550

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301065685 (MI)

Record details

NPI number1457357832
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESDecember 24, 2020
Certification dateDecember 24, 2020

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1995 (31 years in practice)
Group practice Kids Creek Childrens Clinic Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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