BETHANY MEDICAL CENTER NPI 1710453550

NPI Information

  • NPI: 1710453550
  • Provider Name: BETHANY MEDICAL CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 5093 UNIVERSITY PKWY
    WINSTON SALEM, NC
    ZIP 27106
  • Phone: (336) 883-0029

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NPI Details

BETHANY MEDICAL CENTER is a family medicine in Winston Salem, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BETHANY MEDICAL CENTER NPI is 1710453550. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5093 UNIVERSITY PKWY
WINSTON SALEM, NC
ZIP 27106-085
Phone: (336) 883-0029

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 enumeration date for this NPI number is 10/19/2018 and was last updated on 3/24/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineNo
2207N00000XDermatologyNo
3207Q00000XFamily MedicineYes
4207R00000XInternal MedicineNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207RG0100XInternal MedicineGastroenterologyNo
7207RP1001XInternal MedicinePulmonary DiseaseNo
82084N0400XPsychiatry & NeurologyNeurologyNo

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: 3/30/2025

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