Healthcare Provider Details

I. General information

NPI: 1114086378
Provider Name (Legal Business Name): THOMAS SCOTT BINFORD PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SCOTT BINFORD PA

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 SUNDAY DR
RALEIGH NC
27607-6000
US

IV. Provider business mailing address

1540 SUNDAY DR
RALEIGH NC
27607-6010
US

V. Phone/Fax

Practice location:
  • Phone: 919-782-3456
  • Fax: 919-788-8519
Mailing address:
  • Phone: 919-782-3456
  • Fax: 919-783-1441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number102258
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number102258
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: