MEDICARE: FREEDOM INTEGRATED MEDICAL PLLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1710855390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM INTEGRATED MEDICAL PLLC

Provider Business Mailing Address
First Line	:	1123 E LAMAR ALEXANDER PKWY
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37804-5130
Country	:	US
Telephone Number	:	865-233-0569
Fax Number	:

Provider Business Practice Location Address
First Line	:	1123 E LAMAR ALEXANDER PKWY
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37804-5130
Country	:	US
Telephone Number	:	570-867-1617
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHARLES BINGHAM
Credential	:	DO
Telephone Number	:	865-233-0569

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	01/05/2026

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