Provider Demographics
NPI:1861684672
Name:HARRY J BINGHAM MD, INC
Entity Type:Organization
Organization Name:HARRY J BINGHAM MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:BINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-631-2474
Mailing Address - Street 1:5535 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1848
Mailing Address - Country:US
Mailing Address - Phone:513-631-2474
Mailing Address - Fax:513-531-0862
Practice Address - Street 1:5535 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-1848
Practice Address - Country:US
Practice Address - Phone:513-631-2474
Practice Address - Fax:513-531-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH42421207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000007983OtherANTHEM
CI2357OtherMEDICARE RAILROAD
CI2357OtherMEDICARE RAILROAD