MEDICARE: RONALD CRAIG BINGHAM MD

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
1	204R00000X	Electrodiagnostic Medicine Physician	MD0000019569	TN
2	208100000X	Physical Medicine & Rehabilitation Physician	MD0000019569	TN
3	204R00000X	Electrodiagnostic Medicine Physician	13290	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00222025	OTHER	TN	RAILROAD MEDICARE NO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000007457	OTHER	TN	TLC INDIVDUAL NO
4	4105383	OTHER	TN	BCBS OF TENNESSEE
5	000000165519	OTHER	TN	UNISON NO
6	165324700	OTHER	TN	US DEPT OF LABOR

General Provider Information

NPI Number	:	1477521532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD CRAIG BINGHAM MD

Provider Business Mailing Address
First Line	:	3035 N HIGHLAND AVE
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-3411
Country	:	US
Telephone Number	:	731-664-0899
Fax Number	:	731-664-0946

Provider Business Practice Location Address
First Line	:	3035 N HIGHLAND AVE
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-3411
Country	:	US
Telephone Number	:	731-664-0899
Fax Number	:	731-664-0946

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	12/06/2018

Similar Medicare Providers

1700851979 — NOTHSIDE DENTAL CENTER, PA
Practice Location Address:

3067 N HIGHLAND AVE
JACKSON, TN
38305-3411

Practice Phone: 731-668-7916
Practice Fax: 731-668-9544

1366410599 — MILTON O MEDEIROS MD
Practice Location Address:

3035 N HIGHLAND AVE
JACKSON, TN
38305-3411

Practice Phone: 731-664-0899
Practice Fax: 731-664-0946

1407962616 — DR. JAMES BRYANT YOUNG D.D.S.
Practice Location Address:

3067 N HIGHLAND AVE
JACKSON, TN
38305-3411

Practice Phone: 731-668-7916
Practice Fax:

1962597492 — EMG CLINICS OF TENNESSEE PLLC
Practice Location Address:

3035 NORTH HIGHLAND AVE
JACKSON, TN
38305-3411

Practice Phone: 731-664-0899
Practice Fax: 731-664-0946

1205912219 — DR. LARRY CHAMBERS D.D.S.
Practice Location Address:

3067 N HIGHLAND AVE
JACKSON, TN
38305-3411

Practice Phone: 731-668-7916
Practice Fax:

1700965829 — DR. FRANK HAMPSON D.D.S.
Practice Location Address:

3067 N HIGHLAND AVE
JACKSON, TN
38305-3411

Practice Phone: 731-668-7916
Practice Fax:

Directions to “ RONALD CRAIG BINGHAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.