DR. BRANDON JAY BINGHAM (NPI# 1467528638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467528638 |
| Entity Type | Individual |
| Full Name | DR. BRANDON JAY BINGHAM |
| Credential | M.D. |
| Practice Address |
1502 E Millbrook Way Bountiful UT 84010-1530 |
| Mailing Address |
200 Hawkins Dr Dept of Family Medicine Iowa City IA 52242-1009 |
| Practice Telephone | 2106436976 |
| Mailing Telephone | 3193847222 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 10442 | ND | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 Las Vegas Blvd N, Nellis Afb, NV 891916600 | 7026532965 | |
| 200 Hawkins Dr, Iowa City, IA 522421009 | 3193847222 |
| Street Address |
1502 E MILLBROOK WAY |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487963112 | North Canyon Family Medicine and Aesthetics LLC | Family Medicine | 3263 S Highway 89, Suite 300, Bountiful, UT 84010-8555 | 2010-09-29 |
| 1598853079 | George Samuel Wilson | Family Medicine | 1217 E 1650 S, Bountiful, UT 84010 | 2006-10-10 |
| 1174539142 | Bountiful Family Healthcare | Family Medicine | 425 Medical Dr Ste 205, Bountiful, UT 84010 | 2006-07-31 |
| 1629008065 | Brian J Rodgers | Family Medicine | 425 Medical Drive, 205, Bountiful, UT 84010 | 2006-07-03 |
| 1043273386 | Raymond Paul Ward | Family Medicine | 185 S 400 E, Ste 100, Bountiful, UT 84010-4801 | 2006-04-08 |
| 1366421729 | Steven Edward Warren | Family Medicine | 4790 Hidden Lake Dr, Bountiful, UT 84010-6083 | 2006-01-13 |
| 1780681775 | Scott Erickson | Family Medicine | 440 Medical Dr, Suite 4, Bountiful, UT 84010-4950 | 2005-07-05 |
| 1447256953 | Ralph David Wade | Family Medicine | 557 W 2600 S, Bountiful, UT 84010-7747 | 2005-06-21 |
| 1669090510 | Axia International LLC | Family Medicine | 3401 S Highway 89, Bountiful, UT 84010-8517 | 2020-07-08 |
| 1801242391 | Benjamin Brown | Family Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2016-05-13 |
| Find all providers in BOUNTIFUL | ||||
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| 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.