Dale James Bingham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5042433-1206 Issued in UT

Practice address

630 E 1400 N Ste 150
Logan, UT 84341-2549

Phone

(435) 915-4465

Fax

(435) 799-3664

NPI assigned

Jun 10, 2005

Last updated

Jul 10, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Power County Hospital DistrictGroup PAC ID 4587632930, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Power County Hospital District Hospital, American Falls, ID, CCN 131304

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/powerco-3e8d4efb

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.

• Power County Hospital District

  • Critical Access Hospital
  • American Falls, ID
  • NPI 1093810442
  Medicare reassignment Care Compare group NPD
• After Hours Medical LLC

  dba Medallus Medical

  • Urgent Care Clinic/Center
  • Draper, UT
  • NPI 1437251279
  Medicare reassignment
• Mountain West Family Practice LLC

  • Family Medicine Physician
  • Tooele, UT
  • NPI 1770581605
  Medicare reassignment
• After Hours Medical LLC, Dba Medallus Medical

  dba After Hours Medical-South Jordan Clinic

  • Urgent Care Clinic/Center
  • South Jordan, UT
  • NPI 1780786525
  NPD
• Power County Hospital District

  dba Aberdeen Family Clinic

  • Public Health or Welfare Agency
  • Aberdeen, ID
  • NPI 1992239172
  NPD
• Power County Hospital District

  dba Power County Family Clinic

  • Public Health or Welfare Agency
  • American Falls, ID
  • NPI 1598763849
  NPD (past)
• Trans4Med, PLLC

  dba UCR Health Centers

  • Urgent Care Clinic/Center
  • Prescott, AZ
  • NPI 1841464138
  NPD (past)
• Ucxtra Umbrella, LLC

  • Urgent Care Clinic/Center
  • Chandler, AZ
  • NPI 1518952365
  NPD (past)

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

• Power County Hospital District

  • Critical Access Hospital
  • American Falls, ID
  • NPI 1609874932
  Care Compare affiliation

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1376547935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015285",
            "telephone_number": "208-542-9111",
            "fax_number": "208-542-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E 1400 N STE 150",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412549",
            "telephone_number": "435-915-4465",
            "fax_number": "435-799-3664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5605 Northside Xing",
            "address_purpose": "LOCATION",
            "city": "Chubbuck",
            "state": "ID",
            "postal_code": "832022431",
            "country_code": "US",
            "telephone_number": "208-547-5062",
            "fax_number": "208-547-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 S Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834015285",
            "country_code": "US",
            "telephone_number": "208-542-9111",
            "fax_number": "208-542-9114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 S Highway 91 # A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "UT",
            "postal_code": "843331208",
            "country_code": "US",
            "telephone_number": "435-294-3215",
            "fax_number": "435-294-2960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 S Hwy 89 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843216581",
            "country_code": "US",
            "telephone_number": "435-787-8504",
            "fax_number": "435-787-8509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Thain Grade",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835014118",
            "country_code": "US",
            "telephone_number": "208-717-3100",
            "fax_number": "208-717-3099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Highway 41 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838548823",
            "country_code": "US",
            "telephone_number": "208-457-7100",
            "fax_number": "208-457-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1404 Pomerelle Ave Ste A1",
            "address_purpose": "LOCATION",
            "city": "Burley",
            "state": "ID",
            "postal_code": "833182013",
            "country_code": "US",
            "telephone_number": "208-878-8783",
            "fax_number": "208-878-8786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7017 Daisy Ln",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834025753",
            "country_code": "US",
            "telephone_number": "208-534-5878",
            "fax_number": "208-534-5716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hailey",
            "state": "ID",
            "postal_code": "833338929",
            "country_code": "US",
            "telephone_number": "208-788-4122",
            "fax_number": "208-788-6430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "DALE",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "5042433-1206",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Echo Bigelow, DPT
• Megan Bethann Bigler, ATC
• Amy A Billings, PAC
• Chad S Bingham, MS, CCC-SLP
• Corey Bingham, FNP-BC
• Dallin Thomas Bingham
• Diane Bingham
• Legrand Bingham, D.M.D.
• Ralph Wayne Binns, DDS
• Denny K Bird

• Physician Assistant in Logan, UT
• Providers in Logan, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.