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NPI Code Detail

MEDICARE: BETHANY MEDICAL CENTER PA

MEDICARE: BETHANY MEDICAL CENTER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207RG0100XGastroenterology Physician
3207RP1001XPulmonary Disease Physician
42084P0800XPsychiatry Physician
5207RC0000XCardiovascular Disease Physician
6207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740381581
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHANY MEDICAL CENTER PA
Provider Business Mailing Address
First Line : PO BOX 2403
Second Line :
City : HIGH POINT
State : NC
Zip : 27261-2403
Country : US
Telephone Number : 336-812-3610
Fax Number : 336-812-8988
Provider Business Practice Location Address
First Line : 3604 PETERS CT
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-9004
Country : US
Telephone Number : 336-812-3610
Fax Number : 336-812-8988
Authorized Official
Title or Position : PRESIDENT/CEO
Name : DR. LENIN J PETERS
Credential : MD
Telephone Number : 336-883-0029
Provider Enumeration Date : 09/26/2006
Last Update Date : 10/13/2025

Similar Medicare Providers

1497754600 — DR. JAMES JOSEPH SZABO M.D.
Practice Location Address:
3605 PETERS CT
HIGH POINT, NC
27265-9004
Practice Phone: 336-883-0029
Practice Fax: 336-883-0867
1598740722 — DR. JULIUS NICHOLAS TORELLI MD, FACC
Practice Location Address:
3610 PETERS CT
HIGH POINT, NC
27265-9004
Practice Phone: 336-883-0029
Practice Fax: 336-883-8988
1447290242 — RAYMOND T ROSARIO MD
Practice Location Address:
3610 PETERS CT
HIGH POINT, NC
27265-9004
Practice Phone: 336-883-0029
Practice Fax:
1073622627 — PETE M SARMIENTO M.D.
Practice Location Address:
3604 PETERS CT
HIGH POINT, NC
27265-9004
Practice Phone: 336-812-3610
Practice Fax: 338-883-0002
1982781621 — DR. LAURENCE S WEBSTER MD PC
Practice Location Address:
3605 PETERS CT
HIGH POINT, NC
27265-9004
Practice Phone: 336-841-1850
Practice Fax: 336-841-1855
1861614331 — LAKSHMI PRIYA PARUCHURI MD
Practice Location Address:
3604 PETERS CT
HIGH POINT, NC
27265-9004
Practice Phone: 336-883-0029
Practice Fax: 336-883-0867

Directions to “BETHANY MEDICAL CENTER PA ” Practice Location

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