Marlene G Bynum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2000-151 Issued in NM

Practice address

3605 English Rd
Farmington, NM 87402-8303

Phone

(505) 326-4383

Fax

(505) 325-1925

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1720003486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15160",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015160",
            "telephone_number": "505-324-2258",
            "fax_number": "505-324-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 ENGLISH RD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028303",
            "telephone_number": "505-326-4383",
            "fax_number": "505-325-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "MARLENE",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2000-151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E4304",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickie Busby, LADAC
• Christian Wolfram Butler, PA-C
• John Winston Butler, PA-C
• Michael McKay Butler, DDS
• Nancy Elizabeth Buyok, M.S. CCC-SLP
• Johanna Kathryn Byrd
• Juanita Cachucha
• Susan Denise Cahoon, CCCSLP
• Ronald Mark Calcote, M.D.
• Kimberly L Caldwell

• Family Medicine Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.