Healthcare Provider Details

I. General information

NPI: 1699913608
Provider Name (Legal Business Name): CORY M BINGHAM DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2009
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 W 5600 S STE C
ROY UT
84067-9111
US

IV. Provider business mailing address

222 E 750 N
BOUNTIFUL UT
84010-4662
US

V. Phone/Fax

Practice location:
  • Phone: 801-985-3678
  • Fax:
Mailing address:
  • Phone: 801-674-2560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5552558-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: