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NPI Code Detail

MEDICARE: DR. BINO JACOB JOSEPH M.D.

MEDICARE: DR. BINO JACOB JOSEPH 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
1207RP1001XPulmonary Disease PhysicianU7447TX
2207R00000XInternal Medicine Physician299878NY
3390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447637079
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BINO JACOB JOSEPH M.D.
Provider Business Mailing Address
First Line : 2700 E 29TH ST STE 260
Second Line :
City : BRYAN
State : TX
Zip : 77802-2587
Country : US
Telephone Number : 979-774-0012
Fax Number : 979-774-4636
Provider Business Practice Location Address
First Line : 2700 E 29TH ST STE 260
Second Line :
City : BRYAN
State : TX
Zip : 77802-2587
Country : US
Telephone Number : 979-774-0012
Fax Number : 979-774-4636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2015
Last Update Date : 09/09/2025

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