1. Home
  2. Directory
  3. South Carolina
  4. Port Royal
  5. Pediatrics
  6. NPI Profile

JOHN BRUCE ETHERIDGE MD
NPI 1861586414
Pediatrics in Port Royal, SC

Active since October 03, 2006
1320 RIBAUT RD, PORT ROYAL, SC 29935(843) 986-0900 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Bruce Etheridge Md NPPES

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

JOHN BRUCE ETHERIDGE MD (NPI 1861586414) is an individual pediatrics provider in Port Royal, South Carolina, licensed in South Carolina (19936) and active in the NPI registry since October 2006. He maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1861586414
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN BRUCE ETHERIDGECredential: MD
Location Address1320 RIBAUT RDPort Royal, SC 29935-1118
Mailing Address721 Okatie HwyOkatie, SC 29909-3963 · (843) 987-7400
Phone(843) 986-0900
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1861586414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 19936
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.

1320 RIBAUT RD, Port Royal, SC 29935
Open in Google Maps ↗

Secondary Practice Location 1

Location 12781 Tricom StreetCharleston, SC 29406-9170 · Phone (843) 797-5600 · Fax (843) 572-4872

Other Identifiers 1

Medicaid199369SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHIH-PING TUCKER PHARMD
Pharmacist
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 322-1833
DR. ROSALIND DAWSON M.D.
Internal Medicine
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 986-0900
MARLO MONIQUE SMITH MD
Pediatrics
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 986-0900
FAITH LAWRENCE POLKEY M.D., M.P.H.
Pediatrics
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 986-0900
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
Internal Medicine
1320 RIBAUT RD, PORT ROYAL MEDICAL CENTER, ADULT MEDICINE
PORT ROYAL, SC 29935
Beaufort County (843) 986-0900
BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE,INC
Clinic/Center (Public Health, Federal)
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 322-1833
CAMERON STAIGER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 322-1873
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1320 RIBAUT RD
PORT ROYAL, SC 29935
Beaufort County (843) 986-0900

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 John Etheridge's NPI number?

The NPI number for John Etheridge is 1861586414. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is John Etheridge located?

John Etheridge practices at 1320 Ribaut Rd, Port Royal, SC 29935. The listed phone number is (843) 986-0900.

What is John Etheridge's specialty?

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

What insurance does John Etheridge accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list John Etheridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Etheridge was last updated on June 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.