Individual provider Active NPI

Corey Bingham, FNP-BC

  • Family Nurse Practitioner
  • Logan, UT
National Provider Identifier
1851100465
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10439551-4405 Issued in UT
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250703000474 WY Practitioner - Nurse Practitioner 7113430935 Reassigns benefits to 1 organization
I20250703002118 ID Practitioner - Nurse Practitioner 7113430935 Reassigns benefits to 1 organization
I20250703003529 UT Practitioner - Nurse Practitioner 7113430935 Reassigns benefits to 2 organizations
I20251229000230 TX Practitioner - Nurse Practitioner 7113430935 Reassigns benefits to 1 organization

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
Sterling Provider GroupGroup PAC ID 2264773373, 52 clinicians

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

LicenseStateTypeSpecialty
10439551-3102UTMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Nov 3, 2025 Accepting new patients
Sterling Provider Group CurrentSince Mar 25, 2025 Accepting new patients
Blackwell Infinity Health CurrentSince Jul 9, 2025 Accepting new patients
Urgent Care Associates PLLC Current Accepting new patients
Rosebud Indian Health Service CurrentSince Nov 3, 2025 Accepting new patients
Sterling Provider Group CurrentSince Mar 25, 2025 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.