BETHANY MEDICAL CLINIC
NPI 1003900655
Family Medicine in Cleveland, MS

Active since October 03, 2006
548 ROSEMARY ROAD, SUITE A, CLEVELAND, MS 38732(662) 846-5032(662) 846-5034 Get Directions Write a Review

NPPES record last updated: July 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethany Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY MEDICAL CLINIC (NPI 1003900655) is a healthcare organization registered as a family medicine in Cleveland, Mississippi and active in the NPI registry since October 2006. The organization lists Charline Brandon, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003900655
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBETHANY MEDICAL CLINIC
Location Address548 ROSEMARY ROAD, SUITE ACleveland, MS 38732-0358
Mailing AddressPo Box 358, 548 Rosemary RoadCleveland, MS 38732-0358 · (662) 846-5032 · Fax (662) 846-5034
Fax(662) 846-5034
Organization SubpartNo
Authorized OfficialCharline BrandonAdministrator · (662) 846-5032
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 30, 2009
NPI 1003900655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
548 ROSEMARY ROAD, Cleveland, MS 38732

Other Identifiers 2

Medicare ID-Type Unspecified080003847MS
Medicaid06806279MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
548 ROSEMARY ROAD
CLEVELAND, MS 38732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Medical Clinic's NPI number?

The NPI number for Bethany Medical Clinic is 1003900655. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Bethany Medical Clinic located?

Bethany Medical Clinic is located at 548 Rosemary Road Suite A, Cleveland, MS 38732. The listed phone number is (662) 846-5032.

What is Bethany Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bethany Medical Clinic was last updated on July 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.