Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH BROOKE BINGHAM, PA
Active Sole ProprietorKENNETH BROOKE BINGHAM, PA is a Surgical Physician Assistant healthcare provider located in ROME, Georgia. NPI 1770131104 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ROME, GA
Registration Details
- NPI Number
- 1770131104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2019 (6.9462360983744 yrs)
- Last Updated
- Oct 10, 2019
- License
-
9270 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 THREE RIVERS DR NE STE AROME, GA, 301614999Browse GA providers · Browse ZIP 30161
- Phone
- 7092920040
- Fax
- 7063780556
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in ROME, GA
| Name | Credential | NPI |
|---|---|---|
| TIFFANY D BOWERMAN | PA-C | 1306854005 |
| COLIN O MATHENY | PA | 1609969823 |
| JOSHUA A SUGGS | PA-C | 1992149215 |
| JOSEPH JOHN BORRILLO | PA | 1174039598 |
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.