DR. PETER MATTHIAS BINGHAM MD NPI 1215955430

NPI Information

NPI: 1215955430
Provider Name: DR. PETER MATTHIAS BINGHAM, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Organization: UNIVERSITY OF VERMONT MEDICAL CENTER INC

PECOS Registration: Yes

Address:
110 COLCHESTER AVE
EAST PAVILON, LEVEL 4
BURLINGTON, VT
ZIP 05401
Phone: (802) 847-4589
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DR. Peter Matthias Bingham, MD is a neurology with special qualifications in child neurology psychiatry neurology in Burlington, VT with 37 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Peter Matthias Bingham, MD NPI is 1215955430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1987

The provider's business location address is:

110 COLCHESTER AVE
EAST PAVILON, LEVEL 4
BURLINGTON, VT
ZIP 05401-473
Phone: (802) 847-4589

The NPI 1215955430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 10/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	0420010083	VERMONT	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	0420010083	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	E85194	MEDICARE UPIN
2	VN2367	MEDICARE ID-TYPE UNSPECIFIED	VERMONT
3	OVN2367	MEDICAID	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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