Clark Richard Bingham, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8309 Issued in AZ

Practice address

2855 E Brown Rd Ste 28
Mesa, AZ 85213-4217

Phone

(480) 625-4538

Fax

(480) 625-4561

NPI assigned

Dec 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bingham Dermatology Group LLCGroup PAC ID 7416199286, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Bingham Dermatology Group, LLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1083957906
  Medicare reassignment Care Compare group
• Red Mountain Dermatology LLC

  • Dermatology Physician
  • Goodyear, AZ
  • NPI 1205542560
  NPD
• Red Mountain Dermatology LLC

  • Dermatology Physician
  • Tempe, AZ
  • NPI 1437914819
  NPD

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1730775396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD STE 28",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134217",
            "telephone_number": "480-625-4538",
            "fax_number": "480-625-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD STE 28",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134217",
            "telephone_number": "480-625-4538",
            "fax_number": "480-625-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "CLARK",
        "middle_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "8309",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8309",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shauna L Binette, A.N.P.
• Marcie Binford, PHARMD
• Lori Bingaman, CCP
• Laurie T Bingenheimer
• Bingham Dermatology Group, LLC
• Jeremy K Bingham, DO
• Ryan Kirk Bingham, PA
• Scott Randall Bingham
• Timothy Bingham, CNA
• Tyler John Bingham, DMD

• Medical Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.
• 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.