Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Medical Center

Organization Dermatology Physician · NPI 1528525839

Bethany Medical Center is a Dermatology Physician in Mount Airy, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
7

Practice location Address checks out

1908 Caudle Dr Ste 105
Mount Airy, NC 27030-4322
Phone: (336) 883-0029
Fax: (336) 883-0867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pain Medicine Physician Taxonomy 208VP0000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1528525839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lenin Peters — Ceo · (336) 883-0029
NPI enumeratedFebruary 22, 2019
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address645 N Main St, High Point, NC 27260-5017

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