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BETHANY MEDICAL CENTER NPI 1528554631


NPI Information

NPI: 1528554631
Provider Name: BETHANY MEDICAL CENTER

Doing Business As: BETHANY MEDICAL PAIN CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D2105473

Address:
160 KIMEL FOREST DR STE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 883-0029
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BETHANY MEDICAL CENTER is an internal medicine in Winston Salem, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BETHANY MEDICAL CENTER NPI is 1528554631. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bethany Medical Pain Clinic.

The provider's business location address is:

160 KIMEL FOREST DR STE 100
WINSTON SALEM, NC
ZIP 27103-084
Phone: (336) 883-0029
Fax: (336) 899-2176

The provider's authorized official is Lenin J Peters .
The authorized official title is Ceo and has the following contact phone number (336) 883-0029.

The CLIA number assigned to this NPI record is 34D2105473 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2018 and was last updated on 2/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes
2208VP0000XPain MedicinePain MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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