Provider Demographics
NPI:1467596080
Name:BINHLAM, JOHN Q (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:Q
Last Name:BINHLAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1649 WESTGATE CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8573
Mailing Address - Country:US
Mailing Address - Phone:615-843-7546
Mailing Address - Fax:615-777-3376
Practice Address - Street 1:1649 WESTGATE CIR
Practice Address - Street 2:SUITE 100
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8019
Practice Address - Country:US
Practice Address - Phone:615-843-7546
Practice Address - Fax:615-777-3376
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000024945174400000X
TN024945207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN51949393OtherMULTIPLAN
TN6050644OtherBCBS
TN070012873OtherGBA RAILROAD MEDICARE
TN1124001466OtherNPI GROUP NUMBER
TN363029OtherUSA MCO
TN3076923OtherBLUE CROSS SHIELD OF TN
TN6661701OtherCIGNA HEALTHCARE
TN51949393OtherMULTIPLAN
TN51949393OtherMULTIPLAN
TN3083581Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER NUMBE
TNQ027609Medicaid
TN6050644OtherBCBS