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Deactivated NPI 1083721518 Deactivated / Inactive NPI Male Practitioner

Randy Dwayne Bingham , PA-C

Physician Assistant • Rockport, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Randy Bingham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2006
NPI Deactivation Date March 20, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Randy Bingham, PA-C was a registered Physician Assistant practicing in Rockport, TX. Throughout an active medical career spanning 19 years, Randy Bingham provided care at the practice location at 1704 JENKINS ST until profile deactivation on 2025-03-20.

Practice Location & Contact Primary Location

Practice Address

1704 Jenkins St

Rockport, TX 783823341

Telephone 3617909047
Fax 3617909615
Associated Practice Facility / Clinic
🏢 Rockport Medical Clinic Llc Facility NPI 1780869065

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rockport, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Rockport, TX (11140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA00458

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2025

Record deactivated on March 20, 2025

NPI Profile Active June 06, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 06, 2016

Registered at 1704 JENKINS ST, ROCKPORT, TX 783823341 (Tel: 3617909047)

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Updated Business Mailing Address June 06, 2016

Registered at 1704 JENKINS ST, ROCKPORT, TX 783823341 (Tel: 3617909047)

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Provider Name / Credentials Updated June 06, 2016

Recorded as RANDY BINGHAM, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2016

Physician Assistant (License #PA00458 in TX)

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Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083721518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: June 06, 2016
Deactivation Date: March 20, 2025

Mailing Address

1704 Jenkins St

Rockport, TX 783823341

Phone: 3617909047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.