BULVERDE FAMILY MEDICINE PA
NPI 1265801492
Hospitalist in Bulverde, TX

NPI Status: Active since September 17, 2015

Contact Information

805 KELLY CREEK RD
BULVERDE, TX
ZIP 78163
Phone: (830) 980-1805
Fax: (830) 438-5662

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  • Organization
  • Hospitalist
  • Accepts Insurance

About BULVERDE FAMILY MEDICINE PA

This page provides the complete NPI Profile along with additional information for Bulverde Family Medicine Pa, a provider established in Bulverde, Texas operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1265801492 assigned on September 2015. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Bulverde Family Medicine Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jeff D Ethridge Md (Physician Owner)

NPI
1265801492
Provider Name
BULVERDE FAMILY MEDICINE PA
Entity Type
Organization
Location Address
805 KELLY CREEK RD BULVERDE, TX 78163
Location Phone
(830) 980-1805
Location Fax
(830) 438-5662
Mailing Address
805 KELLY CREEK RD BULVERDE, TX 78163
Mailing Phone
(830) 980-1805
Mailing Fax
(830) 438-5662
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2015
Last Update Date
06-08-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

L6877 (TX)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JEFF D ETHRIDGE MD

Authorized Official Title
PHYSICIAN OWNER
Authorized Official Phone
(830) 980-1805

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
L6877OTHER (01)TXMEDICAL LICENSE
386676601MEDICAID (05)TX 

Reviews for BULVERDE FAMILY MEDICINE PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265801492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251602418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 0 + 2 + 4 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1265801492 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598320640 IRINE BENGZEN FOMBO
Individual
Nurse Practitioner (Family)805 KELLY CREEK RD
BULVERDE, TX 78163
(830) 438-5662
1154318095 JEFF D ETHRIDGE M.D.
Individual
Family Medicine805 KELLY CREEK RD
BULVERDE, TX 78163
(830) 980-1805
1982241725 RENEE PATLAN AGACNP-BC
Individual
Nurse Practitioner (Acute Care)805 KELLY CREEK RD
BULVERDE, TX 78163
(830) 980-1805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265801492, enumerated in the NPI registry as an "organization" on September 17, 2015

The provider is located at 805 Kelly Creek Rd Bulverde, Tx 78163 and the phone number is (830) 980-1805

This medical organization specializes in Hospitalist with taxonomy code 208M00000X

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 17, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.