Organization Active NPI

Bryan Bingham D.C. P.C.

Doing business as Highland Chiropractic Clinic

  • Chiropractor
  • Portland, OR
National Provider Identifier
1326079377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273392 Issued in OR
Legal business name
BRYAN BINGHAM D.C. P.C.
Doing business as
Highland Chiropractic Clinic
Practice address
3531 NE 15TH Ave
Suite E
Portland, OR 97212-2377
Phone
(503) 546-9987
Fax
(503) 546-9988
NPI assigned
Jul 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bryan S Bingham, D.C.
Title
Owner
Phone
(503) 546-9987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273392 OR Primary

Addresses

Primary practice location

3531 NE 15TH Ave
Suite E
Portland, OR 97212-2377

Mailing address

3531 NE 15TH Ave
Suite E
Portland, OR 97212-2377
Phone (503) 546-9987

Other names 1

  • Highland Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326079377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 NE 15TH AVE",
            "address_2": "SUITE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122377",
            "telephone_number": "503-546-9987",
            "fax_number": "503-546-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 NE 15TH AVE",
            "address_2": "SUITE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122377",
            "telephone_number": "503-546-9987",
            "fax_number": "503-546-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN BINGHAM D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-546-9987",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.