Dr. Brian Etheridge
M.D. | Pediatrics | Male
Dr. Brian Etheridge, M.D. is a Silver City, New Mexico based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Brian Etheridge is
1007 N Pope St, Silver City, New Mexico - 88061-5161. He can be contacted on phone at
575-388-1511 and fax number 575-313-8236.
Dr. Brian Etheridge is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Brian Etheridge is
1487767562 which was assigned by NPPES on 16 Aug, 2006 and it was last updated on 03 Oct, 2017.
Dr. Brian Etheridge license number is
MD2007-0195 for Pediatrics (208000000X) in New Mexico.
Dr. Brian Etheridge is a pediatrician who 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.
Complete Profile:
Dr. Brian Etheridge basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Brian Etheridge |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Brian Etheridge address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1007 N Pope St
Silver City, NM, 88061-5161
United States |
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| Phone Number : | 575-388-1511 |
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| Fax Number : | 575-313-8236 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487767562 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Aug, 2006 |
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| Last Updated On : | 03 Oct, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian Etheridge are as mentioned. Primary taxonomy code for Dr. Brian Etheridge, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD2007-0195 | NM |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Brian Etheridge such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 40906361 | MEDICAID | NM | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 530 De Moss St
Lordsburg, NM, 88045-2618
United States |
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| Phone Number : | 575-542-2307 |
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| Fax Number : | 575-313-8235 |
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Business Location:
Patients can refer following map for directions to
Dr. Brian Etheridge practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.