Healthcare Provider Details

I. General information

NPI: 1750362497
Provider Name (Legal Business Name): WILLIAM C BINGHAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 MIDDLE ST STE B
FAIRHOPE AL
36532-1766
US

IV. Provider business mailing address

770 MIDDLE ST STE B
FAIRHOPE AL
36532-1766
US

V. Phone/Fax

Practice location:
  • Phone: 251-928-1191
  • Fax: 251-928-4529
Mailing address:
  • Phone: 251-928-1191
  • Fax: 251-928-4529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number00012189
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: