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NPI Code Detail

MEDICARE: TODD L BINGEMANN M.D.

MEDICARE:   TODD L BINGEMANN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician218692NY
2207P00000XEmergency Medicine Physician218692NY
3207R00000XInternal Medicine Physician218692NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00791352OTHERNYMEDICARE RAILROAD

General Provider Information

NPI Number : 1346227311
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD L BINGEMANN M.D.
Provider Business Mailing Address
First Line : 601 ELMWOOD AVE
Second Line : BOX 278980
City : ROCHESTER
State : NY
Zip : 14642-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 913 CULVER RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14609-7141
Country : US
Telephone Number : 585-654-5432
Fax Number : 585-288-7871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 07/05/2023

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Directions to “ TODD L BINGEMANN M.D.” Practice Location

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