Provider Demographics
NPI:1427040369
Name:BINFORD, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:BINFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MS 315010
Mailing Address - Street 2:PO BOX 3947
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-3947
Mailing Address - Country:US
Mailing Address - Phone:425-467-3655
Mailing Address - Fax:425-635-6355
Practice Address - Street 1:1135 116TH AVE NE
Practice Address - Street 2:STE 605
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004
Practice Address - Country:US
Practice Address - Phone:425-454-8161
Practice Address - Fax:425-454-9304
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD35325208G00000X
WAMD60117069208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
4018326OtherBCBS
TN10071081OtherAMERIGROUP COMMUNITY CARE
TNTN0101OtherAMERICHOICE
TN3864456Medicaid
TNP00010889OtherRAILROAD MEDICARE
WA2011157Medicaid
5438275OtherAETNA
KY6404194OtherKY MEDICAID
TN3864456Medicaid