Russell Bingham, PA-C

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

4419 Issued in SC

Practice address

3227 Sunset Blvd Ste F102
West Columbia, SC 29169-3201

Phone

(803) 724-2336

NPI assigned

May 17, 2022

Last updated

May 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1275270654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MEANDER LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 SUNSET BLVD STE F102",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693201",
            "telephone_number": "803-724-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "RUSSELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "4419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Detrice Bethea
• Atit Bhattachan, MBBS
• Amanda Leigh Bilko
• Gregory Scott Bills, M.D.
• Jennie Bingham, RN
• William Harold Bingham III, M.D.
• Bio-Medical Applications of South Carolina, Inc. (West Columbia Dialysis)
• Patricia Bisceglia
• Victoria Bishop, FNP-BC
• Bjrsc, Inc (Home Instead Senior Care - Columbia)

• Interventional Pain Medicine Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Interventional Pain Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.