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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB BINGHAM, MD

Active Sole Proprietor

JACOB BINGHAM, MD is a Orthopaedic Surgery healthcare provider located in BURLEY, Idaho. NPI 1144609314 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · BURLEY, ID

Registration Details

NPI Number
1144609314
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2015 (11.242076515585 yrs)
Last Updated
Mar 7, 2022
Licenses
A168110 (CA)
MT208785 (PA)
M15808 (ID)
Sole Proprietor
Yes

Practice Information

Address
1501 HILAND AVE STE C
BURLEY, ID, 833182682
Browse ID providers · Browse ZIP 83318
Phone
2086776080
Fax
2086776090
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in BURLEY, ID

Name Credential NPI
DR. GILBERT K CRANE M.D 1679556799
BRYCE WAYNE MILLAR M.D. 1831133248
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.