Individual provider Active NPI

James H Bingham, D.C.

  • Chiropractor
  • Boise, ID
National Provider Identifier
1508947979
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1060 Issued in ID
Practice address
1701 N Regal Dr
Boise, ID 83704-7179
Phone
(208) 377-9500
Fax
(208) 377-8449
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1060 ID Primary

Addresses

Primary practice location

1701 N Regal Dr
Boise, ID 83704-7179

Mailing address

1701 N Regal Dr Ste B
Boise, ID 83704-7179
Phone (082) 377-9500

Other identifiers 2

IdentifierTypeStateIssuer
C5619OtherIDBLUE CROSS OF IDAHO
000010155358OtherIDREGENCE BLUE SHIELD OF ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071227000436 ID Practitioner - Chiropractic 4880774199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1701 N Regal Dr
Boise, ID 83704-7179
Phone (208) 377-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1060IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Valley Chiropractic LLC Chiropractor CurrentSince Nov 1, 2007 Accepting new patients

Locations

1740 N Milwaukee St
#B
Boise, ID 83704
Phone (208) 377-9500

1701 N Regal Dr
Ste B
Boise, ID 83704

1701 N Regal Dr
Boise, ID 83704
Phone (208) 377-9500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1508947979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N REGAL DR STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047179",
            "telephone_number": "082-377-9500",
            "fax_number": "208-377-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N REGAL DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047179",
            "telephone_number": "208-377-9500",
            "fax_number": "208-377-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C5619",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010155358",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.