Jacob Bingham, MD
Jacob Bingham, MD is an Orthopedic Surgery in Burley, Idaho. Graduated from Oakland Univ, William Beaumont School of Medicine in 2015, 11 years ago. Practices with Centennial Medical Group Inc, a 61-clinician group and accepts Medicare assignment. Licensed in California, Idaho and Pennsylvania.
- Years since qualifying
- 11
- Trained at
- Oakland Univ, William Beaumont School of Medicine
- Licensed in
- CA, ID, PA
- In the registry since
- 2015
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1501 Hiland Ave Ste CBurley, ID 83318-2682
Phone: (208) 677-6080
Fax: (208) 677-6090
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence M15808 (ID) |
|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X · Licence A168110 (CA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence MT208785 (PA) |
Record details
| NPI number | 1144609314 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2015 |
| Last updated in NPPES | March 7, 2022 |
| Certification date | March 7, 2022 |
| Mailing address | 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Centennial Medical Group Inc — 61 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |