Colby Bingham, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M-13572 Issued in ID

Practice address

1344 Hiland Ave Ste D
Burley, ID 83318-1564

Phone

(208) 572-6005

NPI assigned

May 27, 2014

Last updated

Jul 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Dermatology

Education

University of Utah School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Steele Memorial Medical Center Hospital, Salmon, ID, CCN 131305
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362

  Single Specialty

  Medicare reassignment Care Compare group NPD
• MVH BMC LLC

  dba Blackfoot Medical Center

  • Family Medicine Physician
  • Blackfoot, ID
  • NPI 1649699174

  Single Specialty

  Medicare reassignment NPD
• Steele Memorial Medical Center

  • Critical Access Hospital
  • Salmon, ID
  • NPI 1851403265

  Single Specialty

  Medicare reassignment NPD
• Idaho Skin Institute LLC

  • Dermatology Physician
  • Chubbuck, ID
  • NPI 1184375867

  Single Specialty

  NPD
• MVH BMC LLC

  dba Blackfoot Medical Center

  • Rural Health Clinic/Center
  • Blackfoot, ID
  • NPI 1467816579
  NPD
• Steele Memorial Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Salmon, ID
  • NPI 1992913479
  NPD
• Stoddard & Bingham Medical of Twin Falls PLLC

  dba Idaho Skin Institute of Twin Falls

  • Dermatology Physician
  • Twin Falls, ID
  • NPI 1114691813

  Single Specialty

  NPD
• Steele Memorial Medical Center

  • Rural Health Clinic/Center
  • Salmon, ID
  • NPI 1922182278
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Madison Co Memorial Hospital

  dba Seasons Medical By Madison Memorial

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1073154266

  Hospital

  Care Compare affiliation
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570
  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation
• Steele Memorial Medical Center

  • Critical Access Hospital
  • Salmon, ID
  • NPI 1851403265
  Care Compare affiliation

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1164834073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 CALLOWAY DR",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425293",
            "telephone_number": "208-680-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 HILAND AVE STE D",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181564",
            "telephone_number": "208-572-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Hospital Dr",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-4800",
            "fax_number": "573-884-5947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "COLBY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "ID",
            "license": "M-13572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Beale, LMP
• Stephen Reid Beck, DPT
• Tammi Lynn Beck, MA, EDS
• Erika Renea Bell, MS, RDN, LD
• Khali Berlin, LCPC
• Jacob Bingham, MD
• Marianne Birch
• Wayne H Blauer, MD
• Bodily Brothers Dental
• Chad Bodily

• Dermatology Physician in Burley, ID
• Providers in Burley, ID by specialty
• Dermatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.