Bethlehem Family Practice, PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

33651 Issued in NC

Legal business name

BETHLEHEM FAMILY PRACTICE, PA

Practice address

174 Bolick LN
Suite 202
Taylorsville, NC 28681-3319

Phone

(828) 495-8226

Fax

(828) 495-4191

NPI assigned

Jan 4, 2006

Last updated

Jan 14, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark A Faruque, MDNPI 1386764173

Title

Physician Owner

Phone

(828) 495-8226

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mark A. Faruque MD PA Former legal business name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A Faruque, MD

  • Family Medicine Physician
  • Taylorsville, NC
  • NPI 1386764173
  NPD Authorized official
• Patrick John Morgante, DO

  • Family Medicine Physician
  • Havelock, NC
  • NPI 1881655371
  NPD (past)
• Kimberly Vass-Eudy, D.O.

  • Family Medicine Physician
  • Troutman, NC
  • NPI 1710100144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1245218940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6306",
            "address_2": "BETHLEHEM STATION",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286036403",
            "telephone_number": "828-495-8226",
            "fax_number": "828-495-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BOLICK LN",
            "address_2": "SUITE 202",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286813319",
            "telephone_number": "828-495-8226",
            "fax_number": "828-495-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "FARUQUE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "828-495-8226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": "33651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0238U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348918A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348918C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark A. Faruque MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Donna Aubuchon, LCSW
• Barium Springs Home for Children (Barium Springs)
• Belle's View Adult Care
• Karen Benfield, CNM
• Bethlehem Family Practice
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care of Alexander County)
• Kimberly Rochelle Black, LPC;LCAS-A
• Bobby Abbott (sarahs house)
• Bobby Abbott Dba Sarahs House
• Timothy Alex Bolch, OD

• Rural Health Clinic/Center in Taylorsville, NC
• Providers in Taylorsville, NC by specialty
• Rural Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.