Individual provider Active NPI

William B Bingham, M.D.

  • Family Medicine Physician
  • Oliver Springs, TN
National Provider Identifier
1568451128
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000020484 Issued in TN
Practice address
103 Bennett Rd
Oliver Springs, TN 37840-5008
Phone
(865) 435-1933
Fax
(865) 435-9316
NPI assigned
Oct 17, 2005
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000020484 TN Primary

Addresses

Primary practice location

103 Bennett Rd
Oliver Springs, TN 37840-5008

Mailing address

103 Bennett Rd
Oliver Springs, TN 37840-5008
Phone (865) 435-1933

Other identifiers 1

IdentifierTypeStateIssuer
3051942MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bingham.barry@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091228000097 TN Practitioner - Family Practice 8426198359 Reassigns benefits to 1 organization
Practice locations: Oliver Springs, TN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

103 Bennett Rd
Oliver Springs, TN 37840-5008
Phone (865) 435-1933

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Family Medicine CurrentSince Feb 25, 2017 Accepting new patients
Covenant Medical Group, Inc CurrentSince Feb 25, 2017 Accepting new patients

Locations

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

103 Bennett Rd
Oliver Springs, TN 37840
Phone (865) 435-1933

Interoperability endpoints

  • Direct secure messaging: bingham.barry@covenanthealth.cernerdirect.com

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1568451128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BENNETT RD",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378405008",
            "telephone_number": "865-435-1933",
            "fax_number": "865-435-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BENNETT RD",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378405008",
            "telephone_number": "865-435-1933",
            "fax_number": "865-435-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000020484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3051942",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bingham.barry@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "103 Bennett Rd",
            "city": "Oliver Springs",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378405008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oliver Springs, TN

Sources for this page

Verify at the official NPI Registry.