Active NPI
Roger Dale Binkley Sr.
- Contractor
- Hendersonville, TN
National Provider Identifier
1578899225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 15715
- Practice address
- 1109 Stirlingshire Dr
Hendersonville, TN 37075-9410 - Phone
- (615) 405-3164
- Fax
- (615) 590-7483
- NPI assigned
- Oct 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 15715 | TN | Primary |
Addresses
Primary practice location
1109 Stirlingshire Dr
Hendersonville, TN 37075-9410
Mailing address
1109 Stirlingshire Dr
Hendersonville, TN 37075-9410
Phone (615) 405-3164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15715 | TN | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1578899225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 STIRLINGSHIRE DR",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370759410",
"telephone_number": "615-405-3164",
"fax_number": "615-590-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 STIRLINGSHIRE DR",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370759410",
"telephone_number": "615-405-3164",
"fax_number": "615-590-7483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINKLEY",
"first_name": "ROGER",
"middle_name": "DALE",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TN",
"license": "15715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.