Active NPI
Ronald Craig Bingham, MD
- Physical Medicine & Rehabilitation Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD0000019569
- Practice address
- 3035 N Highland Ave
Jackson, TN 38305-3411 - Phone
- (731) 664-0899
- Fax
- (731) 664-0946
- NPI assigned
- Mar 14, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | MD0000019569 | TN | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD0000019569 | TN | Primary |
| Electrodiagnostic Medicine Physician | 204R00000X | 13290 | MS |
Addresses
Primary practice location
3035 N Highland Ave
Jackson, TN 38305-3411
Mailing address
3035 N Highland Ave
Jackson, TN 38305-3411
Phone (731) 664-0899
Other practice location 1
640 US Highway 51 Byp E Ste D
Dyersburg, TN 38024-2067
Phone (800) 224-1807
Other practice location 2
1365 S Germantown Rd
Germantown, TN 38138-2225
Phone (800) 224-1807
Other practice location 3
634 Spicer Dr Ste A
Tupelo, MS 38804-1225
Phone (800) 224-1807
Other practice location 4
832 Mulberry Ave
Selmer, TN 38375-2334
Phone (800) 224-1807
Other practice location 5
391 Southcrest Cir Ste 104
Southaven, MS 38671-4775
Phone (800) 224-1807
Other practice location 6
1604 Leflore Ave
Greenwood, MS 38930-4027
Phone (800) 224-1807
Other practice location 7
430 S Lake St
Paris, TN 38242-4573
Phone (800) 224-1807
Other practice location 8
421 Henslee Dr
Dickson, TN 37055-2166
Phone (800) 224-1807
Other practice location 9
1720 E Reelfoot Ave
Union City, TN 38261-6047
Phone (800) 224-1807
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3857438 | Medicaid | TN | |
| P00222025 | Other | TN | RAILROAD MEDICARE NO |
| 000000007457 | Other | TN | TLC INDIVDUAL NO |
| 4105383 | Other | TN | BCBS OF TENNESSEE |
| 000000165519 | Other | TN | UNISON NO |
| 165324700 | Other | TN | US DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Louisiana State University School of Medicine in New Orleans, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3035 N Highland Ave
Jackson, TN 38305-3411
634 Spicer Dr
Suite a
Tupelo, MS 38804-1225
Phone (800) 224-1807
7640 Clarington CV
Suite B
Southaven, MS 38671-5652
Phone (800) 224-1807
8066 Walnut Run Rd
Suite 101
Cordova, TN 38018-8842
Phone (800) 224-1807
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000019569 | TN | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Associates PC | Past | Accepting new patients | |
| BMG Family Physicians Group Foundation, Inc | Past | Accepting new patients | |
| Lexington Clinic Corp | Past | Accepting new patients | |
| Family Physicians Group PC | Past | Accepting new patients | |
| Gericare, LLC | Past | Accepting new patients | |
| Trinity Medical Clinic, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Jackson, TN
- NPI 1962597492
AR, MS
-
- Family Medicine Physician
- Memphis, TN
- NPI 1578804142
-
- Family Medicine Physician
- Memphis, TN
- NPI 1457344145
-
- Home Health Agency
- Savannah, TN
- NPI 1245221795
-
- Family Medicine Physician
- Lexington, TN
- NPI 1780652107
-
- Internal Medicine Physician
- Hermitage, TN
- NPI 1518993013
-
- Family Nurse Practitioner
- Selmer, TN
- NPI 1013156629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1477521532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 N HIGHLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053411",
"telephone_number": "731-664-0899",
"fax_number": "731-664-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 N HIGHLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053411",
"telephone_number": "731-664-0899",
"fax_number": "731-664-0946"
}
],
"practiceLocations": [
{
"address_1": "640 US Highway 51 Byp E Ste D",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380242067",
"country_code": "US",
"telephone_number": "800-224-1807",
"fax_number": "731-664-0946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1365 S Germantown Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381382225",
"country_code": "US",
"telephone_number": "800-224-1807",
"fax_number": "731-664-0946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "634 Spicer Dr Ste A",
"address_purpose": "LOCATION",
"city": "Tupelo",
"state": "MS",
"postal_code": "388041225",
"country_code": "US",
"telephone_number": "800-224-1807",
"fax_number": "731-664-0946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "832 Mulberry Ave",
"address_purpose": "LOCATION",
"city": "Selmer",
"state": "TN",
"postal_code": "383752334",
"country_code": "US",
"telephone_number": "800-224-1807",
"fax_number": "731-664-0946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "391 Southcrest Cir Ste 104",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714775",
"country_code": "US",
"telephone_number": "800-224-1807",
"fax_number": "731-664-0946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1604 Leflore Ave",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "MS",
"postal_code": "389304027",
"country_code": "US",
"telephone_number": "800-224-1807",
"fax_number": "731-664-0946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "430 S Lake St",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "TN",
"postal_code": "382424573",
"country_code": "US",
"telephone_number": "800-224-1807",
"fax_number": "731-664-0946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 Henslee Dr",
"address_purpose": "LOCATION",
"city": "Dickson",
"state": "TN",
"postal_code": "370552166",
"country_code": "US",
"telephone_number": "800-224-1807",
"fax_number": "731-664-0946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 E Reelfoot Ave",
"address_purpose": "LOCATION",
"city": "Union City",
"state": "TN",
"postal_code": "382616047",
"country_code": "US",
"telephone_number": "800-224-1807",
"fax_number": "731-664-0946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BINGHAM",
"first_name": "RONALD",
"middle_name": "CRAIG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "TN",
"license": "MD0000019569",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "MD0000019569",
"primary": true
},
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "MS",
"license": "13290",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3857438",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NO",
"identifier": "P00222025",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC INDIVDUAL NO",
"identifier": "000000007457",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TENNESSEE",
"identifier": "4105383",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON NO",
"identifier": "000000165519",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "165324700",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.