MEDICARE: BETHANY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207N00000X	Dermatology Physician
2	207Q00000X	Family Medicine Physician
3	207RC0000X	Cardiovascular Disease Physician
4	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1508328816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHANY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	507 N LINDSAY ST
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27262-4303
Country	:	US
Telephone Number	:	336-883-0029
Fax Number	:

Provider Business Practice Location Address
First Line	:	4002 SPRING GARDEN ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1683
Country	:	US
Telephone Number	:	336-883-0029
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LENIN J PETERS
Credential	:	MD
Telephone Number	:	336-883-0029

Provider Enumeration Date	:	04/04/2019
Last Update Date	:	10/13/2025

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Directions to “BETHANY MEDICAL CENTER ” Practice Location

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