Individual provider Active NPI

Jason Ray Bingham, MD

  • Surgery Physician
  • Lakewood, WA
National Provider Identifier
1861786022
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60775245 Issued in WA
Practice address
11307 Bridgeport Way SW Ste 220a
Lakewood, WA 98499-3024
Phone
(253) 985-2733
NPI assigned
Jun 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X MD60775245 WA
Surgery Physician 208600000X MD60775245 WA Primary

Addresses

Primary practice location

11307 Bridgeport Way SW Ste 220a
Lakewood, WA 98499-3024

Mailing address

11307 Bridgeport Way SW Ste 220a
Lakewood, WA 98499-3024
Phone (253) 985-2733

Other practice location 1

9040 Jackson Avenue
Tacoma, WA 98431-1000
Phone (202) 716-9579

Other practice location 2

1802 Yakima Ave Ste 104
Tacoma, WA 98405-5303
Phone (253) 426-6272

Other identifiers 1

IdentifierTypeStateIssuer
2020664MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbingham110680@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20180313002014 WA Practitioner - General Surgery 2062774920 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60775245WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Oct 16, 2018 Accepting new patients
Franciscan Medical Group Surgery CurrentSince Feb 26, 2018 Accepting new patients
Franciscan Medical Group CurrentSince Feb 26, 2018 Accepting new patients
Multicare Health System CurrentSince Oct 16, 2018 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

34509 9th Ave S
Ste 204
Federal Way, WA 98003
Phone (253) 835-5510

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

11511 Canterwood Blvd
Ste 140
Gig Harbor, WA 98332
Phone (253) 530-2940

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

11307 Bridgeport Way SW
Ste 220A
Lakewood, WA 98499
Phone (253) 985-2733

1802 Yakima Ave
Ste 104
Tacoma, WA 98405
Phone (253) 426-6272

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: jbingham110680@fhsce.catholichealth.net

Organizations & group practices 8

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1861786022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 BRIDGEPORT WAY SW STE 220A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993024",
            "telephone_number": "253-985-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 BRIDGEPORT WAY SW STE 220A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993024",
            "telephone_number": "253-985-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040 Jackson Avenue",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984311000",
            "country_code": "US",
            "telephone_number": "202-716-9579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 Yakima Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984055303",
            "country_code": "US",
            "telephone_number": "253-426-6272",
            "fax_number": "253-426-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "JASON",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "WA",
            "license": "MD60775245",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60775245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020664",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbingham110680@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11307 Bridgeport Way SW Ste 220A",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.