Individual provider Active NPI

Nicholas D. Bingham, M.D.

  • Occupational Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1861697609
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
40093 Issued in IA
Practice address
Mercy Care Occupational Health at Prairie Creek
777 76TH Ave Dr SW, Suite 400
Cedar Rapids, IA 52404
Phone
(319) 558-0342
Fax
(319) 558-0343
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 40093 IA Primary

Addresses

Primary practice location

Mercy Care Occupational Health at Prairie Creek
777 76TH Ave Dr SW, Suite 400
Cedar Rapids, IA 52404

Mailing address

Mercy Care Occupational Health at Prairie Creek
777 76TH Ave Dr SW, Suite 400
Cedar Rapids, IA 52404
Phone (319) 558-0342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20150615001746 IA Practitioner - Preventive Medicine 2062723281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40093IAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Associates, Inc Current Accepting new patients
Mercy Physician Associates, Inc Occupational Medicine CurrentSince Mar 1, 2022 Accepting new patients

Locations

777 76th Avenue Dr SW
Ste 400
Cedar Rapids, IA 52404
Phone (319) 558-0342

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1861697609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MERCY CARE OCCUPATIONAL HEALTH AT PRAIRIE CREEK",
            "address_2": "777 76TH AVE DR SW, SUITE 400",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52404",
            "telephone_number": "319-558-0342",
            "fax_number": "319-558-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MERCY CARE OCCUPATIONAL HEALTH AT PRAIRIE CREEK",
            "address_2": "777 76TH AVE DR SW, SUITE 400",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52404",
            "telephone_number": "319-558-0342",
            "fax_number": "319-558-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "NICHOLAS",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IA",
            "license": "40093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.