Individual
SCOTT E BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W STE 101, PROVO, UT 84604-3305
(801) 373-4366
(801) 429-8191
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
186950-1205
UT
207RI0011X
Interventional Cardiology Physician
Primary
186950-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060016868
PALMETTO
UT
01
—
107005301101
INTERMOUNTAIN HEALHCARE
UT
01
—
25-00144
UNITED HEALTHCARE
UT
01
—
27054
PEHP
UT
01
—
51823
DMBA
UT
01
—
870281028BI1
EMIA
UT
01
—
QM0000001586
ALTIUS HEALTHPLANS
UT
Enumeration date
05/02/2006
Last updated
11/27/2023
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