National Provider Identifier Database

BETHANY MEDICAL CENTER
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

BETHANY MEDICAL CENTER
1908 CAUDLE DR STE 105
MOUNT AIRY, NC27030-4322
Phone: 336-883-0029
Fax: 336-883-0867
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Dermatology 207N00000X
Family 363LF0000X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Pain Medicine 208VP0000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for BETHANY MEDICAL CENTER

NPI Number 1528525839
Legal business name
LBN
BETHANY MEDICAL CENTER
Authorized official LENIN PETERS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/22/2019
Last updated 10/13/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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