# STACIE LYNN BINGAMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073715165
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 01055347A | IN | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | N2584 | TX | Yes |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 03/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 204165904 | — | TX |
| 05 | — | 204165905 | — | TX |
| 05 | — | 204165906 | — | TX |