Individual provider Active NPI

Bryan Scott Bingham, D.C.

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1396747085
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002375A Issued in IN
Practice address
5420 N College Ave Ste 101
Indianapolis, IN 46220-3169
Phone
(317) 257-2800
Fax
(317) 257-2808
NPI assigned
Aug 11, 2005
Last updated
Dec 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002375A IN Primary

Addresses

Primary practice location

5420 N College Ave Ste 101
Indianapolis, IN 46220-3169

Mailing address

5420 N College Ave Ste 101
Indianapolis, IN 46220-3169
Phone (317) 257-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000176 IN Practitioner - Chiropractic 4688687973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Bingham D.C., P.C.Group PAC ID 6800953506, 2 clinicians

Practice addresses (Care Compare)

5420 N College Ave
Suite 101
Indianapolis, IN 46220-3169
Phone (317) 257-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002375AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David Higginson DC PC Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1396747085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 N COLLEGE AVE STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203169",
            "telephone_number": "317-257-2800",
            "fax_number": "317-257-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 N COLLEGE AVE STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203169",
            "telephone_number": "317-257-2800",
            "fax_number": "317-257-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "BRYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002375A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.