Active NPI
Corey Bingham, FNP-BC
- Family Nurse Practitioner
- Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10439551-4405
- Practice address
- 630 E 1400 N Ste 150
Logan, UT 84341-2549 - Phone
- (435) 512-0978
- NPI assigned
- Jan 7, 2025
- Last updated
- Jul 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10439551-4405 | UT | Primary |
| Emergency Registered Nurse | 163WE0003X | 10439551-3102 | UT |
Addresses
Primary practice location
630 E 1400 N Ste 150
Logan, UT 84341-2549
Mailing address
754 S 150 E
Smithfield, UT 84335-4710
Phone (435) 512-0978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, ID, UT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1404 Pomerelle Ave
Suite A1
Burley, ID 83318-2013
Phone (208) 878-8783
47 Doc Perkes
Afton, WY 83110-7703
Phone (307) 885-3637
630 E 1400
Suite 150
Logan, UT 84341-2549
Phone (435) 915-4465
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10439551-3102 | UT | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Sterling Provider Group | Current | Accepting new patients | |
| Blackwell Infinity Health | Current | Accepting new patients | |
| Urgent Care Associates PLLC | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Sterling Provider Group | Current | Accepting new patients |
Locations
1404 Pomerelle Ave
Ste A1
Burley, ID 83318
Phone (208) 878-8783
740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111
939 S Highway 89
Ste 1
Logan, UT 84321
Phone (435) 787-8504
630 E 1400 N
Ste 150
North Logan, UT 84341
Phone (435) 787-8504
609 S Highway 91
Ste A
Richmond, UT 84333
47 Doc Perkes
Afton, WY 83110
Phone (307) 734-5864
1952 Harrison Dr
Evanston, WY 82930
Phone (307) 288-0404
2761 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-3064
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rosebud Indian Health Service Hospital
- General Acute Care Hospital
- Rosebud, SD
- NPI 1194757369
TX
-
- Community/Behavioral Health Agency
- Smithfield, UT
- NPI 1447140389
-
- Urgent Care Clinic/Center
- South Jordan, UT
- NPI 1407633639
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
- Urgent Care Clinic/Center
- Butte, MT
- NPI 1871220038
-
- Preferred Provider Organization
- Idaho Falls, ID
- NPI 1609046408
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rosebud, SD
- NPI 1427419282
-
dba Star Valley Medical Center
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1851100465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "754 S 150 E",
"city": "SMITHFIELD",
"state": "UT",
"postal_code": "843354710",
"telephone_number": "435-512-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E 1400 N STE 150",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412549",
"telephone_number": "435-512-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHAM",
"first_name": "COREY",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-07",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "10439551-4405",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "UT",
"license": "10439551-3102",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.