BULVERDE FAMILY MEDICINE PA
NPI 1265801492
Hospitalist in Bulverde, TX

Active since September 17, 2015
805 KELLY CREEK RD, BULVERDE, TX 78163(830) 980-1805(830) 438-5662 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 8, 2021, May 6, 2021, Apr 20, 2021 and 2 more (5 updates tracked since 2019).

  • 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 5 years ago. Bulverde Family Medicine Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jeff D Ethridge Md (Physician Owner)

NPI
1265801492 Verify this NPI
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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Location Map

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:

  • Wellpoint Essential Bronze 4000 HSA (+ Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
  • Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

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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Other Providers at the Same Location


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

Nurse Practitioner (Family)
805 KELLY CREEK RD
BULVERDE, TX 78163
Family Medicine
805 KELLY CREEK RD
BULVERDE, TX 78163
Nurse Practitioner (Acute Care)
805 KELLY CREEK RD
BULVERDE, TX 78163

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265801492, enumerated 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.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: WellPoint, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.