GREGORY GEORGE BINGAMAN (NPI# 1265700090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265700090 |
| Entity Type | Individual |
| Full Name | GREGORY GEORGE BINGAMAN |
| Credential | NP |
| Practice Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Mailing Address |
621 Memorial Dr Suite 502 South Bend IN 46601-1063 |
| Practice Telephone | 5746471610 |
| Practice Fax Number | 5742376069 |
| Mailing Telephone | 5746475875 |
| Mailing Fax Number | 5746475878 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2019-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704338962 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71003819A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
28147386A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201205150 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 John St Ste M-510, Kalamazoo, MI 490075341 | 2693417762 | |
| 901 Macarthur Blvd, Munster, IN 463212901 | 2197031991 | |
| 363 Fremont St Ste 100, Battle Creek, MI 490173395 | 2699696100 |
| Street Address |
710 N NILES AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548777295 | Lourine Garcia | Nurse Practitioner | 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 | 2018-01-03 |
| 1265951578 | Erin Elizabeth Rissler | Nurse Practitioner | 621 Memorial Dr Ste 512, South Bend, IN 46601-1075 | 2017-09-18 |
| 1720388937 | Nanette M Monhaut | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1811559321 | Natalie Dawn Coleman | Nurse Practitioner | 537 Marion St, Mitchell, IN 47446-1026 | 2019-07-03 |
| 1225592843 | Kaitlyn Tinius | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 171, Avon, IN 46123-6914 | 2019-01-28 |
| 1760953533 | Jeanetta Carol Conway | Nurse Practitioner | 8368 Helmsley Ct, Fishers, IN 46038-4430 | 2018-12-05 |
| 1366918104 | Irina Kochersperger | Nurse Practitioner | 4972 Lincoln Ave Ste 101, Evansville, IN 47715-7909 | 2018-10-19 |
| 1780160069 | Cara Crone | Nurse Practitioner | 8402 Harcourt Rd Ste 500, Indianapolis, IN 46260-2054 | 2018-07-19 |
| 1376051607 | Bethann Pradny | Nurse Practitioner | 5125 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-01-22 |
| 1710415559 | Joseph K Muriithi | Nurse Practitioner | 515 Park Place Cir Ste 200, Mishawaka, IN 46545-3585 | 2017-05-24 |
| 1689129645 | Casie Stevens | Nurse Practitioner | 1701 Senate Blvd Ste 238, Indianapolis, IN 46202-1239 | 2016-08-19 |
| 1700239175 | Melissa Lorenz | Nurse Practitioner | 301 Gordon Gutmann Blvd Ste 301, Jeffersonville, IN 47130-3767 | 2016-07-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on GREGORY GEORGE BINGAMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.