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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
2207R00000XInternal Medicine Physician
3207RG0100XGastroenterology Physician
4207RP1001XPulmonary Disease Physician
52084P0800XPsychiatry Physician
6207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1326242728
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHANY MEDICAL CENTER, PA
Provider Business Mailing Address
First Line : 4140 MENDENHALL OAKS PKWY
Second Line : SUITE 101
City : HIGH POINT
State : NC
Zip : 27265-8034
Country : US
Telephone Number : 336-841-1259
Fax Number : 336-883-8988
Provider Business Practice Location Address
First Line : 4140 MENDENHALL OAKS PKWY
Second Line : SUITE 101
City : HIGH POINT
State : NC
Zip : 27265-8034
Country : US
Telephone Number : 336-841-1259
Fax Number : 336-883-8988
Authorized Official
Title or Position : CEO
Name : DR. LENIN J PETERS
Credential : MD
Telephone Number : 336-883-0029
Provider Enumeration Date : 06/12/2007
Last Update Date : 10/13/2025

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Directions to “BETHANY MEDICAL CENTER, PA ” Practice Location

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