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BETHANY MEDICAL CENTER NPI 1316303076


NPI Information

NPI: 1316303076
Provider Name: BETHANY MEDICAL CENTER
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3402 BATTLEGROUND AVE
GREENSBORO, NC
ZIP 27410
Phone: (336) 883-0029
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BETHANY MEDICAL CENTER is an internal medicine in Greensboro, 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 1316303076. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3402 BATTLEGROUND AVE
GREENSBORO, NC
ZIP 27410-404
Phone: (336) 883-0029
Fax: (336) 883-0867

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

The enumeration date for this NPI number is 1/12/2016 and was last updated on 1/20/2016.


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
1207RG0100XInternal MedicineGastroenterology103837NORTH CAROLINANo
2207N00000XDermatology36839NORTH CAROLINANo
3207Q00000XFamily MedicineNo
4207RC0000XInternal MedicineCardiovascular Disease2013-01110NORTH CAROLINANo
5207RG0100XInternal MedicineGastroenterology101104NORTH CAROLINANo
6207RP1001XInternal MedicinePulmonary Disease35265NORTH CAROLINANo
7363A00000XPhysician AssistantNo
8363L00000XNurse PractitionerNo
9207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12316178MEDICAIDNORTH CAROLINA
25607644MEDICAIDNORTH CAROLINA
3D357MEDICARE PIN
42136178DMEDICARE PIN
5D214MEDICARE PIN
61780015842MEDICAIDNORTH CAROLINA
71992133870MEDICAIDNORTH CAROLINA
87901101MEDICAIDNORTH CAROLINA
91619398997MEDICAIDNORTH CAROLINA
103409940MEDICAIDNORTH CAROLINA
1189011F1MEDICAIDNORTH CAROLINA
122316178AMEDICARE PINNORTH CAROLINA
13D241MEDICARE PIN

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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