Individual provider Active NPI

Jonathan B Bingham, MD

  • Urology Physician
  • Allentown, PA
National Provider Identifier
1063449809
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD424275 Issued in PA
Practice address
1250 S Cedar Crest Blvd Ste 215
Allentown, PA 18103-6271
Phone
(484) 884-0617
Fax
(484) 884-0628
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD424275 PA Primary

Addresses

Primary practice location

1250 S Cedar Crest Blvd Ste 215
Allentown, PA 18103-6271

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622
Phone (484) 884-0617

Other identifiers 1

IdentifierTypeStateIssuer
101507900MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040604000930 PA Practitioner - Urology 8123000866 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD424275PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Centers Inc CurrentSince May 1, 2023 Accepting new patients
Delta Medix PC CurrentSince Sep 19, 2018 Accepting new patients
Family Care Centers Inc. CurrentSince May 1, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Sep 2, 2014 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 2, 2014 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 21, 2020 Accepting new patients
Hazleton Professional Services CurrentSince Sep 21, 2020 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Fetzer-Clair Urology Associates LLP Urology Past Accepting new patients
Vascular Diagnostic Center PC PastSince Sep 19, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lehigh Valley Physician Group Past Accepting new patients
Radiology & MRI of Bethlehem, Inc. Past Accepting new patients

Locations

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

5018 Medical Center Cir
Ste 240
Allentown, PA 18106
Phone (484) 876-5649

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

422 Normal St
East Stroudsburg, PA 18301
Phone (570) 424-2100

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

140 N Sherman Ct
Hazleton, PA 18201
Phone (570) 450-6333

281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793

5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864

300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1063449809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-0617",
            "fax_number": "484-884-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CEDAR CREST BLVD STE 215",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036271",
            "telephone_number": "484-884-0617",
            "fax_number": "484-884-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "JONATHAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD424275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101507900",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.