# BETHANY MEDICAL CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427641224
- **Authorized official:** LENIN J PETERS MD (CEO)
- **Authorized official phone:** (336) 883-0029

## Contact information

- **Practice address:** 2805 S MAIN ST, HIGH POINT, NC 27263-1936
- **Practice address phone:** (336) 883-0029
- **Practice address fax:** (336) 883-0867
- **Mailing address:** 645 N MAIN ST, HIGH POINT, NC 27260-5017
- **Mailing address phone:** (336) 883-0029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/12/2021
- **Last updated:** 12/09/2025