Active NPI
Brianna Bingham, RN
- Registered Nurse
- Madison, WI
National Provider Identifier
1083258396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 242392
- Practice address
- 3113 E Washington Ave
Madison, WI 53704-4330 - Phone
- (608) 416-5777
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 242392 | WI | Primary |
Addresses
Primary practice location
3113 E Washington Ave
Madison, WI 53704-4330
Mailing address
1031 Jills CT
Waterloo, WI 53594-1193
Phone (608) 630-4130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242392 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Addiction Services LLC | Single Specialty | Current | Accepting new patients |
Locations
3113 E Washington Ave
Madison, WI 53704
Phone (608) 242-0220
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1083258396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 JILLS CT",
"city": "WATERLOO",
"state": "WI",
"postal_code": "535941193",
"telephone_number": "608-630-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 E WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044330",
"telephone_number": "608-416-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHAM",
"first_name": "BRIANNA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "WI",
"license": "242392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.