Organization Active NPI

Bryan Bingham D.C., P.C.

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1679719975
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002375A Issued in IN
Legal business name
BRYAN BINGHAM D.C., P.C.
Practice address
5420 N College Ave
Suite 101
Indianapolis, IN 46220-3188
Phone
(317) 257-2800
Fax
(317) 257-2808
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. Bryan Scott Bingham, D.C.NPI 1396747085
Title
Owner
Phone
(317) 257-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002375A IN Primary

Addresses

Primary practice location

5420 N College Ave
Suite 101
Indianapolis, IN 46220-3188

Mailing address

5420 N College Ave
Suite 101
Indianapolis, IN 46220-3188
Phone (317) 257-2800

Other names 1

  • Compass Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090325000201 IN Part B Supplier - Clinic/Group Practice 6800953506 Receives reassigned benefits from 2 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

5420 N College Ave
Ste 101
Indianapolis, IN 46220
Phone (317) 257-2800

5420 N College Ave
Ste 10
Indianapolis, IN 46220
Phone (317) 257-2800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1679719975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 N COLLEGE AVE",
            "address_2": "SUITE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203188",
            "telephone_number": "317-257-2800",
            "fax_number": "317-257-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 N COLLEGE AVE",
            "address_2": "SUITE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203188",
            "telephone_number": "317-257-2800",
            "fax_number": "317-257-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN BINGHAM D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-257-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002375A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.