Active NPI
Gregory George Bingaman, NP
- Acute Care Nurse Practitioner
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 71003819A
- Practice address
- 621 Memorial Dr Ste 502
South Bend, IN 46601-1075 - Phone
- (574) 647-5875
- Fax
- (574) 647-5878
- NPI assigned
- Dec 7, 2011
- Last updated
- Aug 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704338962 | MI | |
| Acute Care Nurse Practitioner | 363LA2100X | 71003819A | IN | Primary |
Addresses
Primary practice location
621 Memorial Dr Ste 502
South Bend, IN 46601-1075
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3437
Other practice location 1
500 Arcade Ave Ste 320
Elkhart, IN 46514-2477
Phone (574) 523-7900
Other practice location 2
901 MacArthur Blvd
Munster, IN 46321-2901
Phone (219) 703-1991
Other practice location 3
363 Fremont St Ste 100
Battle Creek, MI 49017-3395
Phone (269) 969-6100
Other practice location 4
601 John St Ste M-510
Kalamazoo, MI 49007-5341
Phone (269) 341-7762
Other practice location 5
500 Arcade Ave Ste 210
Elkhart, IN 46514-2485
Phone (574) 389-5656
Other practice location 6
500 Arcade Ave Ste 320
Elkhart, IN 46514-2485
Phone (574) 523-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201205150 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gbingaman@mybeacon.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 Memorial Dr
Suite 502
South Bend, IN 46601-1075
Phone (574) 647-5875
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003819A | IN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Nurse Practitioner | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| Munster Medical Research Foundation Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
500 Arcade Ave
Ste 210
Elkhart, IN 46514
Phone (574) 389-5656
500 Arcade Ave
Ste 320
Elkhart, IN 46514
Phone (574) 293-3317
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
900 I St
Laporte, IN 46350
Phone (219) 324-1670
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
621 Memorial Dr
Ste 502
South Bend, IN 46601
Phone (574) 234-9001
710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
363 Fremont St
Ste 100
Battle Creek, MI 49017
Phone (269) 245-5100
601 John St
#M510
Kalamazoo, MI 49007
Phone (269) 341-7762
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
601 John St
Ste M510
Kalamazoo, MI 49007
Phone (269) 341-7762
31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
Interoperability endpoints
- gbingaman@mybeacon.cernerdirect.com
Organizations & group practices 10
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.
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
dba Bronson Medical Group
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1093119638
Nurse Practitioner
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
dba Beacon Medical Group Anesthesia Elkhart
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
dba Beacon Medical Group- Trauma and Surgical Services
- Trauma Surgery Physician
- South Bend, IN
- NPI 1174927131
-
- Anesthesiology Physician
- Munster, IN
- NPI 1982653044
-
dba Bronson Battle Creek Outpatient Pharmacy
- Community/Retail Pharmacy
- Battle Creek, MI
- NPI 1740351907
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1265700090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 MEMORIAL DR STE 502",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011075",
"telephone_number": "574-647-5875",
"fax_number": "574-647-5878"
}
],
"practiceLocations": [
{
"address_1": "500 Arcade Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465142477",
"country_code": "US",
"telephone_number": "574-523-7900",
"fax_number": "574-523-7909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 MacArthur Blvd",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463212901",
"country_code": "US",
"telephone_number": "219-703-1991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "363 Fremont St Ste 100",
"address_purpose": "LOCATION",
"city": "Battle Creek",
"state": "MI",
"postal_code": "490173395",
"country_code": "US",
"telephone_number": "269-969-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 John St Ste M-510",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490075341",
"country_code": "US",
"telephone_number": "269-341-7762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Arcade Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465142485",
"country_code": "US",
"telephone_number": "574-389-5656",
"fax_number": "574-523-7891",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Arcade Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465142485",
"country_code": "US",
"telephone_number": "574-523-7900",
"fax_number": "574-523-7909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BINGAMAN",
"first_name": "GREGORY",
"middle_name": "GEORGE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-07",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704338962",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71003819A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201205150",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gbingaman@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "621 Memorial Dr Ste 502",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466011075",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.