BREANNA ETHRIDGE MD
NPI 1831959162
Student in an Organized Health Care Education/Training Program in Little Rock, AR
About Breanna Ethridge Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA ETHRIDGE MD (NPI 1831959162) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Breanna Ethridge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Breanna Ethridge's NPI number?
The NPI number for Breanna Ethridge is 1831959162. It was assigned to this individual provider in the NPPES registry on March 21, 2024.
Where is Breanna Ethridge located?
Breanna Ethridge practices at 4301 W Markham St # 531, Little Rock, AR 72205. The listed phone number is (501) 686-5259.
What is Breanna Ethridge's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Breanna Ethridge enrolled in Medicare?
Yes. Breanna Ethridge is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Breanna Ethridge was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Breanna Ethridge, MD · NPI 1831959162
Student in an Organized Health Care Education/Training Program provider in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since March 21, 2024.
## Identity
- **NPI:** 1831959162 (Entity type: Individual)
- **Enumerated:** March 21, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4301 W MARKHAM ST # 531, Little Rock, AR 72205-7101
- **Phone:** (501) 686-5259
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831959162) · Data from the CMS NPPES public registry.