ETHAN BRIDGE
NPI 1982562724
Physician Assistant in Lafayette, CO

Q: What is Ethan Bridge's NPI number?

The NPI number for Ethan Bridge is 1982562724. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Q: What is Ethan Bridge's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Bridge was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since January 12, 2026PECOS Enrolled

1140 W SOUTH BOULDER RD STE 202, LAFAYETTE, CO 80026(303) 604-1444 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2026, Jan 12, 2026 (2 updates tracked since 2026).

On this page

About Ethan Bridge NPPES

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

ETHAN BRIDGE (NPI 1982562724) is an individual physician assistant in Lafayette, Colorado, licensed in Colorado (PA.0009608) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982562724

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameETHAN BRIDGE

Location Address1140 W SOUTH BOULDER RD STE 202Lafayette, CO 80026-8910

Mailing Address1140 W South Boulder Rd Ste 202Lafayette, CO 80026-8910

Phone(303) 604-1444

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 12, 2026

Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration

NPPES CertifiedMarch 16, 2026

✔ NPI 1982562724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CO · PA.0009608

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1140 W SOUTH BOULDER RD STE 202, Lafayette, CO 80026

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Bridge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375027451

PECOS Enrollment IDI20260318000601

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 80026 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 6

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

TREVOR FLEISCHMANN PA-C

Physician Assistant (Medical)