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Dr. Victor Bethune , MD

Physician β€’ Brooklyn, NY

Deactivated NPI 1811058480 Deactivated in NPPES Male Practitioner
Practice location in NPPES

100 N Portland Ave
Brooklyn, NY 112052005

Phone: 7182607895

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of June 21, 2023; the reason is not published. The records below are historical. They do not show whether Dr. Victor Bethune currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date December 13, 2006
NPI Deactivation Date June 21, 2023
NPI Active Period 2006 – 2023

Practice Location & Contact Primary Location

Practice Address

100 N Portland Ave

Brooklyn, NY 112052005

Telephone 7182607895
Organization at the Same NPPES Address or Phone
New York City Health And Hospitals Corporation Facility NPI 1356406136

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Brooklyn and New York

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Clinic/Center - Primary Care Primary Specialty

NUCC Taxonomy Code: 261QP2300X

License # reported to NPPES NY 142362
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Notcher Amarteifio , DDS

Dentist - General Practice

NPI 1023197829

Doctor of Dental Surgery

Dr. Kevin Chen , MD

Internal Medicine

NPI 1619356441

Doctor of Medicine (M.D.)

Isaac Davis , FNP-BC

Nurse Practitioner - Family

NPI 1538642780

Family Nurse Practitioner (Board Certified)

Doctor of Dental Surgery

Debbie Ollivierre-Noel

Dentist - General Practice

NPI 1215015268
Dr. Jennifer Qian , DDS

Dentist - General Practice

NPI 1023504768

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated June 21, 2023

NPPES lists this NPI as deactivated as of June 21, 2023; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 100 N PORTLAND AVE, BROOKLYN, NY 112052005 (Tel: 7182607895)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 2210 RIDGE WAY, FORT LEE, NJ 070242203

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as VICTOR BETHUNE, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Clinic/Center (license number reported to NPPES: NY 142362)

🟒
Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811058480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: July 08, 2007
Deactivation Date: June 21, 2023

Mailing Address

2210 Ridge Way

Fort Lee, NJ 070242203

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.