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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 Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BETHANY MEDICAL CENTER

NPI Number 1528525839
LBN Legal business name BETHANY MEDICAL CENTER
Authorized official LENIN PETERS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2019
Last updated 10/13/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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