DR. BRIAN ETHERIDGE M.D.
NPI 1487767562
Pediatrics in Silver City, NM

Q: What is Brian Etheridge's NPI number?

The NPI number for Brian Etheridge is 1487767562. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Brian Etheridge's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Etheridge was last updated on October 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2006PECOS Enrolled

1007 N POPE ST, SILVER CITY, NM 88061(575) 388-1511(575) 313-8236 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Brian Etheridge M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN ETHERIDGE M.D. (NPI 1487767562) is an individual pediatrics provider in Silver City, New Mexico, licensed in New Mexico (MD2007-0195) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Silver City.

NPPES Registry Identity

NPI1487767562

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. BRIAN ETHERIDGECredential: M.D.

Location Address1007 N POPE STSilver City, NM 88061-5161

Mailing Address530 De Moss StLordsburg, NM 88045-2618 · (575) 542-2307 · Fax (575) 313-8235

Phone(575) 388-1511

Fax(575) 313-8236

Sole ProprietorNo

Enumeration DateAugust 16, 2006

Last NPPES UpdateOctober 3, 2017

✔ NPI 1487767562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NM · MD2007-0195

Definition

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.

1007 N POPE ST, Silver City, NM 88061

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Secondary Practice Location 1

Location 11007 N Pope StSilver City, NM 88061-5161 · Phone (575) 388-1511 · Fax (575) 313-8236

Other Identifiers 2

Medicare PIN346724104

Medicaid40906361NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian Etheridge M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.