BETHANY MEDICAL CENTER (NPI# 1972065282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972065282 |
| Entity Type | Organization |
| Organization Name | BETHANY MEDICAL CENTER |
| Practice Address |
410 College Rd Greensboro NC 27410-5151 |
| Mailing Address |
507 N Lindsay St High Point NC 27262-4303 |
| Practice Telephone | 3368830029 |
| Mailing Telephone | 3368830029 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | LENIN J PETERS (CEO) |
| Authorized Official Telephone | 3368830029 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1508341736 | Bethany Medical Center | Anesthesiology | 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 | 2018-10-03 |
| 1467829663 | Bethany Medical Center | Clinical Medical Laboratory | 575 N Patterson Ave, Suite 440, Winston Salem, NC 27101-4101 | 2015-08-24 |
| 1992133870 | Bethany Medical Center | Pathology | 100 N Bridge St, Suite C, Wilkesboro, NC 28697-2488 | 2013-10-31 |
| 1508328816 | Bethany Medical Center | Dermatology | 4002 Spring Garden St, Greensboro, NC 27407-1683 | 2019-04-04 |
| 1528525839 | Bethany Medical Center | Dermatology | 1908 Caudle Dr Ste 100, Mount Airy, NC 27030-4322 | 2019-02-22 |
| 1003382839 | Bethany Medical Center | Dermatology | 3801 W Market St, Greensboro, NC 27407-1301 | 2018-10-19 |
| 1710453550 | Bethany Medical Center | Anesthesiology | 5093 University Pkwy, Winston Salem, NC 27106-6085 | 2018-10-19 |
| 1528554631 | Bethany Medical Center | Pain Medicine | 160 Kimel Forest Dr Ste 100, Winston Salem, NC 27103-6084 | 2018-07-02 |
| 1255880571 | Bethany Medical Center | Internal Medicine | 1580 Skeet Club Rd, High Point, NC 27265-9005 | 2016-09-28 |
| Street Address |
410 COLLEGE RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245291863 | Enrico Guy Jones | Family Medicine | 410 College Rd, Greensboro, NC 27410-5151 | 2006-03-31 |
| 1477116424 | Rachel Mccoy | Nurse Practitioner | 410 College Rd, Greensboro, NC 27410-5151 | 2019-04-16 |
| 1891123063 | Friendly Urgent and Family Care | Family Medicine | 410 College Rd, Greensboro, NC 27410-5151 | 2013-10-24 |
| 1568674216 | Friendly Urgent and Family Care | Family Medicine | 410 College Rd, Greensboro, NC 27410-5151 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467014233 | Shea Nicole Church | Family Medicine | 5710 W Gate City Blvd # 1, Greensboro, NC 27407-7061 | 2019-07-02 |
| 1487116968 | The Moses H. Cone Memorial Hospital Operating Corporation | Family Medicine | 3711 Elmsley St Ste 101, Greensboro, NC 27406-7039 | 2019-04-03 |
| 1104315654 | Richter Family Medicine and Wellness | Family Medicine | 5500 W Friendly Ave Ste 201, Greensboro, NC 27410-4368 | 2018-05-09 |
| 1588177315 | Medexpress Urgent Care North Carolina, P.C. | Family Medicine | 4100 Beechwood Dr, Greensboro, NC 27410-8117 | 2017-11-15 |
| 1417467275 | Moses Cone Physician Services, Inc. | Family Medicine | 2525c Phillips Ave, Greensboro, NC 27405-5357 | 2017-10-06 |
| 1528412483 | Taye Tolcha Gonfa | Family Medicine | 1125 N. Church Street, Greensboro, NC 27401 | 2016-04-18 |
| 1962889592 | Alvin Caldwell Powell Jr. | Family Medicine | 1200 N Elm St # 3509, Greensboro, NC 27401 | 2015-05-04 |
| 1518398098 | Novant Medical Group, Inc | Family Medicine | 6316 Old Oak Ridge Rd, Suite E, Greensboro, NC 27410-9940 | 2013-12-09 |
| 1184055667 | Novant Medical Group, Inc | Family Medicine | 501 Hickory Branch Road, Greensboro, NC 27409 | 2013-12-09 |
| 1861731192 | Alice Ingram | Family Medicine | 1301 W Wendover Ave Ste A, Greensboro, NC 27408-8123 | 2013-02-06 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.