Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEL BINGHAM, PA-C
ActiveMEL BINGHAM, PA-C is a Physician Assistant healthcare provider located in MALAD CITY, Idaho. NPI 1134257876 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MALAD CITY, ID
Registration Details
- NPI Number
- 1134257876
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2007 (19.441949546475 yrs)
- Last Updated
- Dec 8, 2025
- Licenses
-
757 (AK)PA-1173 (ID)
Practice Information
- Address
-
220 BANNOCK STMALAD CITY, ID, 832525068Browse ID providers · Browse ZIP 83252
- Phone
- 2087662600
- Fax
- 2087664258
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MALAD CITY, ID
| Name | Credential | NPI |
|---|---|---|
| RICK C. CLARK JR. | PA | 1033190533 |
| ROBERT TODD GILLESPIE | P.A. | 1922026467 |
| ARIEL SHANTAY AVIS TAYSOM | PA-C | 1609341098 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.