Bethlehem Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BETHLEHEM FAMILY PRACTICE

Practice address

174 Bolick LN
Suite 202
Taylorsville, NC 28681-3319

Phone

(828) 495-8226

Fax

(828) 495-4191

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Katherine F Henry

Title

Business Service Operations Officer

Phone

(336) 716-1331

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Health Care PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• North Carolina Baptist Hospital

  • Community/Retail Pharmacy
  • Winston Salem, NC
  • NPI 1881460855

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Dein, PA

  • Physician Assistant
  • High Point, NC
  • NPI 1912007303
  NPD
• Joanna Izquierdo May, PA

  • Physician Assistant
  • Fairfax, VA
  • NPI 1588003495
  NPD
• Tracy Mackay Scott, P.A.-C.

  • Medical Physician Assistant
  • Salem, VA
  • NPI 1952598922
  NPD

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1972849024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DR",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2534"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS SERVICE OPERATIONS OFFICER",
        "authorized_official_telephone_number": "336-716-1331"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Health Care PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cornerstone Health Care PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rose R. Archer, R.N. B.A.
• Donna Aubuchon, LCSW
• Barium Springs Home for Children
• Belle'S View Adult Care
• Karen Benfield, CNM
• Bethlehem Family Practice, PA
• Bio-Medical Applications of North Carolina, Inc.
• Kimberly Rochelle Black, LPC;LCAS-A
• Bobby Abbott
• Bobby Abbott Dba Sarahs House

• Family Medicine Physician in Taylorsville, NC
• Providers in Taylorsville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.