Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487767562 Individual Practitioner Male Practitioner

Dr. Brian Etheridge , MD

Pediatrics • Silver City, NM

Professional Overview & Biography Verified Profile Summary

Dr. Brian Etheridge, MD is a registered healthcare professional specializing in Pediatrics in Silver City, NM. Practice services are available at 1007 N POPE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1007 N Pope St

Silver City, NM 880615161

Telephone 5753881511
Fax 5753138236
Associated Practice Facility / Clinic
🏢 Hidalgo Medical Services Facility NPI 1063759330

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Silver City, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
8 Specialists

Practicing in Silver City, NM (471 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NM MD2007-0195

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
40906361 (NM)

Secondary Practice Locations

1007 N Pope St

Silver City, NM 880615161

Phone: 5753881511

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003324294
Anita Gallardo , FNP-C

Nurse Practitioner - Family

NPI 1003890195

Family Nurse Practitioner (Certified)

Susan Tavizon , CCSS WORKER

Case Manager/Care Coordinator

NPI 1013387901

CCSSWORKER

Lacy Rodriguez , NP

Nurse Practitioner

NPI 1013639830

Nurse Practitioner

NPI 1093713109

Doctor of Medicine (M.D.)

Kathleen Lamphere , NP

Nurse Practitioner - Family

NPI 1093889735

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2017

Registered at 1007 N POPE ST, SILVER CITY, NM 880615161 (Tel: 5753881511)

📍
Updated Business Mailing Address October 03, 2017

Registered at 530 DE MOSS ST, LORDSBURG, NM 880452618 (Tel: 5755422307)

👤
Provider Name / Credentials Updated October 03, 2017

Recorded as BRIAN ETHERIDGE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Pediatrics (License #MD2007-0195 in NM)

NPI Profile Active January 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2013

Registered at 1600 E 32ND ST, SILVER CITY, NM 880617287 (Tel: 5755382981)

📍
Updated Business Mailing Address January 04, 2013

Registered at 1600 E 32ND ST, SILVER CITY, NM 880617287 (Tel: 5755382981)

👤
Provider Name / Credentials Updated January 04, 2013

Recorded as BRIAN ETHERIDGE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2013

Pediatrics (License #MD2007-0195 in NM)

🟢
Initial NPI Registration & Enumeration August 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Brian Etheridge. Be the first to share your experience!

Sign in to leave a review for Dr. Brian Etheridge

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487767562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: October 03, 2017
Sole Proprietor: No

Mailing Address

530 De Moss St

Lordsburg, NM 880452618

Phone: 5755422307

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.