Organization
BETHANY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENIN PETERS M.D. (PRESIDENT/CEO)
(336) 883-0029
Entity
Organization
Contact information
Practice address
3402 BATTLEGROUND AVE, GREENSBORO, NC 27410-2404
(336) 883-0029
(336) 883-0867
Mailing address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
(336) 883-0867
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
36839
NC
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
2013-01110
NC
207RG0100X
Gastroenterology Physician
101104
NC
207RG0100X
Gastroenterology Physician
103837
NC
207RP1001X
Pulmonary Disease Physician
35265
NC
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619398997
—
NC
05
—
1780015842
—
NC
05
—
1992133870
—
NC
05
—
2316178
—
NC
05
—
3409940
—
NC
05
—
5607644
—
NC
05
—
7901101
—
NC
05
—
89011F1
—
NC
Enumeration date
01/12/2016
Last updated
10/13/2025
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