Scott Randall Bingham

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

327532 Issued in AZ

Practice address

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

Phone

(480) 625-4538

NPI assigned

Dec 9, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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
  NPD

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1790648384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N DATE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015637",
            "telephone_number": "480-625-4538"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "SCOTT",
        "middle_name": "RANDALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "327532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie T Bingenheimer
• Bingham Dermatology Group, LLC
• Clark Richard Bingham, PA-C
• Jeremy K Bingham, DO
• Ryan Kirk Bingham, PA
• Timothy Bingham, CNA
• Tyler John Bingham, DMD
• Kendal Claire Binion, PHD
• Bradley J Binstock, R.PH.
• Shilpa Binstock, R.PH.

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.