Active NPI
Peter Matthias Bingham, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 0420010083
- Practice address
- 110 Colchester Ave
East Pavilon, Level 4
Burlington, VT 05401-1473 - Phone
- (802) 847-4589
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0420010083 | VT | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 0420010083 | VT | Primary |
Addresses
Primary practice location
110 Colchester Ave
East Pavilon, Level 4
Burlington, VT 05401-1473
Mailing address
110 Colchester Avenue
Burlington, VT 05490
Phone (802) 847-4589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN2367 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Columbia University College of Physicians and Surgeons, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420010083 | VT | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Neurology | Current | Accepting new patients |
| Central Vermont Medical Center Inc | Neurology | Current | Accepting new patients |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Current | Accepting new patients | |
| Bronxcare Health System | Past | Accepting new patients | |
| Fletcher Allen Health Care Inc | Past | Accepting new patients |
Locations
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
111 Colchester Ave
Fl 4
Burlington, VT 05401
Phone (802) 847-1400
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- pbingham3914@direct.uvmhealth.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- Radiation Oncology Physician
- Burlington, VT
- NPI 1619266624
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1215955430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 COLCHESTER AVENUE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05490",
"telephone_number": "802-847-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 COLCHESTER AVE",
"address_2": "EAST PAVILON, LEVEL 4",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHAM",
"first_name": "PETER",
"middle_name": "MATTHIAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VT",
"license": "0420010083",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "VT",
"license": "0420010083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN2367",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.