Individual provider Active NPI

Henry Stephen Bingham

  • Physician Assistant
  • Fernley, NV
National Provider Identifier
1487345708
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1260 Nevada Pacific Blvd
Fernley, NV 89408-9871
Phone
(775) 575-7171
Fax
(775) 575-7227
NPI assigned
May 17, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Churchill Community Hospital 23 clinicians

Practice addresses (Care Compare)

1260 Nevada Pacific Blvd
Fernley, NV 89408-9871
Phone (775) 575-7171

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Reno, NV, CCN 297022
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241030000159 NV Practitioner - Physician Assistant 4486187499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Churchill Community Hospital CurrentSince Oct 22, 2024 Accepting new patients

Locations

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

1260 Nevada Pacific Blvd
Fernley, NV 89408
Phone (775) 442-0683

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1260 Nevada Pacific Blvd
Fernley, NV 89408-9871

Mailing address

2616 Michelangelo CT
Sparks, NV 89434-9211
Phone (775) 745-6419

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2024.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1487345708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MICHELANGELO CT",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349211",
            "telephone_number": "775-745-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 NEVADA PACIFIC BLVD",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089871",
            "telephone_number": "775-575-7171",
            "fax_number": "775-575-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "HENRY",
        "middle_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernley, NV

Sources for this page

Verify at the official NPI Registry.