Provider Demographics
NPI:1639170160
Name:DENLINGER, BETHANY L (MD)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:L
Last Name:DENLINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 90
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-0090
Mailing Address - Country:US
Mailing Address - Phone:434-447-2898
Mailing Address - Fax:434-447-3456
Practice Address - Street 1:412 DURANT STREET
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-1614
Practice Address - Country:US
Practice Address - Phone:434-447-2898
Practice Address - Fax:434-447-3456
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045540207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8905006OtherMEDICAID
VA44172OtherSENTERA/OPTIMA
VA006055907Medicaid
VA110043OtherBLUECROSS/BLUESHIELD
VA110118927OtherRR MEDICARE
VA110118927OtherRR MEDICARE
E85015Medicare UPIN